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http://dx.doi.org/10.1016/j.idcr.2023.e01759 | DOI Listing |
Radiol Case Rep
March 2025
School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Spinal schistosomiasis, a rare manifestation of schistosomal infection, can closely mimic the presentation of spinal cord tumors and pose significant diagnostic challenges. We present the case of a 12-year-old boy from northern Ethiopia who experienced progressive back pain, tingling sensations in his lower extremities, and intermittent fever. Initially referred with a presumptive diagnosis of myxopapillary ependymoma for pediatric hematology-oncology evaluation, his marked eosinophilia and history of swimming in local rivers raised suspicion for spinal schistosomiasis.
View Article and Find Full Text PDFJ West Afr Coll Surg
July 2024
FOCOS Orthopaedic Hospital, Department of Neurosurgery Research Accra, Ghana.
Spinal cord involvement is a rare complication of the schistosomiasis manifesting as myeloradiculopathy, medullary or conus-cauda equina syndrome which can lead to potentially serious long-term disability. Computed tomography and magnetic resonance imaging coupled with biochemical parameters have become the mainstay of diagnosis. Biopsy which is the gold standard of diagnosis demonstrating the organism is usually reserved for cases of diagnostic challenge.
View Article and Find Full Text PDFNeurol Sci
November 2024
Neurology Unit, University Hospital of Dijon, 14 Rue Paul Gaffarel, 21000, Dijon, France.
Spinal cord inflammation is a rare presentation of schistosomiasis infection. The present report describes the case of a young patient presenting subacute medullary symptoms revealing extensive longitudinal myelitis related to schistosomiasis, also known as bilharzia. The diagnosis was based on detection of parasite eggs in stool.
View Article and Find Full Text PDFRadiol Case Rep
October 2024
Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia.
This case report describes 2 patients with spinal cord schistosomiasis diagnosed based on a magnetic resonance imaging finding of a unique arborized type of postcontrast enhancement. Both patients presented with back pain and lower limb weakness, and prompt treatment with an anti-schistomal agent and steroid resulted in significant neurological and radiological improvement. The report emphasizes the role of imaging in the early diagnosis of spinal cord schistosomiasis, as well as the importance of early treatment for the best clinical outcomes.
View Article and Find Full Text PDFInt J Surg Case Rep
September 2024
Department of Pathology, Specialties Hospital, Ibn Sina university Hospital, Rabat 12000, Morocco; Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Morocco.
Introduction: Spinal cord schistosomiasis is an extremely rare entity presenting with a wide range of neurological symptoms. The early diagnosis and treatment can improve neurological outcome. Histopathological examination is the gold standard for establishing the diagnosis of spinal schistosomiasis, revealing schistosoma eggs.
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