Abstract
A case study of intramedullary schistosomiasis in a 10-year-old child is reported. The patient presented with a short history of ascending paraparesis with no sensory loss. Sphincter dysfunction was rapid. She had surgical exploration and removal of a conus medullaris mass. Schistosomiasis was confirmed histologically. Combined steroid and praziquantel therapy improved her sphincter function and paraparesis.
References
1.
Haribhai HC, Bhigjee AI, Bill PLA, Pammenter MD, Modi G, Hoffmann M, Kelbe C, Becker P: Spinal cord schistosomiasis. A clinical, laboratory and radiological study, with a note on therapeutic aspects. Brain 1991;114:709–726.
2.
Joubert J, Fripp PJ, Hay ITI, Davel GH, van Graan ESJ: Schistosomiasis of the spinal cord – underdiagnosed in South Africa? S Afr Med J 1990;77:297–299.
3.
Van Leusen H, Perquin WV: Spinal cord schistosomiasis. J Neurol Neurosurg Psychiatry 2000;69:690–691.
4.
Selwa LM, Brunberg JA, Mandell SH, Garofalo EA: Spinal cord schistosomiasis: A pediatric case mimicking intrinsic cord neoplasm. Neurology 1991;41:755–757.
5.
Shail E, Siquiera EB, Haider A, Halim M: Neuroschistosomiasis myelopathy: Case report. Br J Neurosurg 1994;8:239–242.
6.
Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 4–1996. A 40-year-old woman with the rapid onset of flaccid paraplegia. N Engl J Med 1996;334:382–389.
7.
Lechenberg R, Vaida GA: Schistosomiasis of the spinal cord. Neurology 1977;27:55–59.
8.
Ueki K, Parisi JE, Onfrio BM: Schistosoma mansoni infection involving the spinal cord. Case Report. Neurosurg 1995;82:1065–1067.
9.
Gomes CM, Trigo-Rocha F, Arap MA, Gabriel AJ, Alaor de Figueiredo J, Arap S: Schistosomal myelopathy: Urologic manifestations and urodynamic findings. Urology 2002;59:195–200.
© 2003 S. Karger AG, Basel
2003
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