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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...

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Autores principales: Pappamikail, Lia, Fernandes, Paulo, Gonçalves, Casimiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
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.
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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
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