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Encephalic Schistosoma japonicum resembles brainstem neoplasm: Case report and literature review

Encephalic schistosomiasis is a rare and severe parasitic disease which manifests as granuloma formation around ectopic eggs that migrate to the brain. We present a rare case of a pseudotumoral form of Schistosoma japonicum in the brainstem that was initially misidentified as a malignant tumor. The...

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Autores principales: Wu, Kang, Zhao, Hong Yu, Shu, Kai, Lei, Ting, Zeng, Liang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9519849/
https://www.ncbi.nlm.nih.gov/pubmed/36188392
http://dx.doi.org/10.3389/fneur.2022.990998
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author Wu, Kang
Zhao, Hong Yu
Shu, Kai
Lei, Ting
Zeng, Liang
author_facet Wu, Kang
Zhao, Hong Yu
Shu, Kai
Lei, Ting
Zeng, Liang
author_sort Wu, Kang
collection PubMed
description Encephalic schistosomiasis is a rare and severe parasitic disease which manifests as granuloma formation around ectopic eggs that migrate to the brain. We present a rare case of a pseudotumoral form of Schistosoma japonicum in the brainstem that was initially misidentified as a malignant tumor. The patient presented with intermittent headaches, diplopia, and left limb weakness. Neurological examination revealed hypoesthesia of the left lower limb, limitation of right eye abduction, and decreased muscle strength of the left upper limb. The cerebrospinal fluid tested positive for antibodies against S. japonicum. After standard treatment for schistosomiasis, the patient achieved complete remission. This case highlights that encephalic schistosomiasis can occur in the brainstem and resemble a neoplasm on magnetic resonance imaging. Once diagnosed, however, complete remission is achievable by non-invasive medical treatment.
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spelling pubmed-95198492022-09-30 Encephalic Schistosoma japonicum resembles brainstem neoplasm: Case report and literature review Wu, Kang Zhao, Hong Yu Shu, Kai Lei, Ting Zeng, Liang Front Neurol Neurology Encephalic schistosomiasis is a rare and severe parasitic disease which manifests as granuloma formation around ectopic eggs that migrate to the brain. We present a rare case of a pseudotumoral form of Schistosoma japonicum in the brainstem that was initially misidentified as a malignant tumor. The patient presented with intermittent headaches, diplopia, and left limb weakness. Neurological examination revealed hypoesthesia of the left lower limb, limitation of right eye abduction, and decreased muscle strength of the left upper limb. The cerebrospinal fluid tested positive for antibodies against S. japonicum. After standard treatment for schistosomiasis, the patient achieved complete remission. This case highlights that encephalic schistosomiasis can occur in the brainstem and resemble a neoplasm on magnetic resonance imaging. Once diagnosed, however, complete remission is achievable by non-invasive medical treatment. Frontiers Media S.A. 2022-09-15 /pmc/articles/PMC9519849/ /pubmed/36188392 http://dx.doi.org/10.3389/fneur.2022.990998 Text en Copyright © 2022 Wu, Zhao, Shu, Lei and Zeng. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Wu, Kang
Zhao, Hong Yu
Shu, Kai
Lei, Ting
Zeng, Liang
Encephalic Schistosoma japonicum resembles brainstem neoplasm: Case report and literature review
title Encephalic Schistosoma japonicum resembles brainstem neoplasm: Case report and literature review
title_full Encephalic Schistosoma japonicum resembles brainstem neoplasm: Case report and literature review
title_fullStr Encephalic Schistosoma japonicum resembles brainstem neoplasm: Case report and literature review
title_full_unstemmed Encephalic Schistosoma japonicum resembles brainstem neoplasm: Case report and literature review
title_short Encephalic Schistosoma japonicum resembles brainstem neoplasm: Case report and literature review
title_sort encephalic schistosoma japonicum resembles brainstem neoplasm: case report and literature review
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9519849/
https://www.ncbi.nlm.nih.gov/pubmed/36188392
http://dx.doi.org/10.3389/fneur.2022.990998
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