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Medullary schistosomiasis
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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4078447/ https://www.ncbi.nlm.nih.gov/pubmed/24991469 http://dx.doi.org/10.4103/2152-7806.132235 |
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author | Pappamikail, Lia Fernandes, Paulo Gonçalves, Casimiro |
author_facet | Pappamikail, Lia Fernandes, Paulo Gonçalves, Casimiro |
author_sort | Pappamikail, Lia |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-4078447 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-40784472014-07-02 Medullary schistosomiasis Pappamikail, Lia Fernandes, Paulo Gonçalves, Casimiro Surg Neurol Int Case Report 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. Medknow Publications & Media Pvt Ltd 2014-05-09 /pmc/articles/PMC4078447/ /pubmed/24991469 http://dx.doi.org/10.4103/2152-7806.132235 Text en Copyright: © 2014 Pappamikail L http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Case Report Pappamikail, Lia Fernandes, Paulo Gonçalves, Casimiro Medullary schistosomiasis |
title | Medullary schistosomiasis |
title_full | Medullary schistosomiasis |
title_fullStr | Medullary schistosomiasis |
title_full_unstemmed | Medullary schistosomiasis |
title_short | Medullary schistosomiasis |
title_sort | medullary schistosomiasis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4078447/ https://www.ncbi.nlm.nih.gov/pubmed/24991469 http://dx.doi.org/10.4103/2152-7806.132235 |
work_keys_str_mv | AT pappamikaillia medullaryschistosomiasis AT fernandespaulo medullaryschistosomiasis AT goncalvescasimiro medullaryschistosomiasis |