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Rev Med Interne. 2012 Oct;33(10):580-2. doi: 10.1016/j.revmed.2012.06.005. Epub 2012 Jul 19.

[Myelopathy due to Schistosoma mansoni].

[Article in French]

Author information

  • 1Clinique Neurologique, CHU de Fann, Dakar, Sénégal. fode_abass@yahoo.fr

Abstract

INTRODUCTION:

Neurological complications of schistosomiasis remain exceptional even in hyperendemic area.

CASE REPORT:

We report a 26-year-old Senegalese man, without past medical history, who was admitted for spastic paraplegia, acute retention of urine, and pain in low back and lower limbs. The final diagnosis was spinal cord schistosomiasis. Diagnosis was based on the endemic context, MRI medullar conus imaging, schistosoma serology in cerebrospinal fluid and blood, and the absence of other cause of myelopathy. Treatment was based on praziquantel, corticosteroids and physiotherapy. The outcome was favorable after a 2-year follow-up.

CONCLUSION:

Schistosomiasis should be included in the differential diagnosis of myelopathy in patients living actually, or even traveled in the past, in endemic tropical areas.

Copyright © 2012 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.

PMID:
22818881
[PubMed - indexed for MEDLINE]
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