Medullary Schistosomiasis

• Author(s): Pappamikail, L ; Fernandes, P ; Gonçalves, C
• Date: 2014
• Persistent ID: http://hdl.handle.net/10400.17/1903
• Origin: Repositório do Centro Hospitalar de Lisboa Central, EPE
• Subject(s): CHLC NCIR; Esquistossomose; Diagnóstico Diferencial; Resultado de Tratamento
• Document Type: Article
• Language: English

Description

BACKGROUND: Schistosomal infestation of the central nervous system is a rare cause of cord compression, although a predominant one in endemic areas. CASE DESCRIPTION: A 38-year-old male, native of Ivory Coast, with a history of 1 month of progressive paraparesis, neurogenic bladder, diminished deep tendon reflexes of the lower limbs, and sensory level. The magnetic resonance imaging (MRI) showed a medullary lesion at D4-D5 level, suggestive of an intramedullary tumor. Laminotomy of D3 to D5 and excision of a grayish white lesion according to a preliminary histopathologic review suggestive of a high grade glioma. Definitive histopathology review established the diagnosis of medullary schistosomiasis. CONCLUSION: Schistosomal myeloradiculopathy should be considered in patients presenting with cord compression or features of transverse myelitis, especially in patients from endemic areas or low social economic settlements.