Pseudo-tumoral spinal cord schistosomiasis

Vale, Thiago Cardoso; Sousa-Pereira, Sílvio Roberto; Lambertucci, José Roberto

doi:10.1590/0037-8682-0038-2013

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…Patients can also present with a prolonged onset of intermittent back pain until the diagnosis [ 5 ]. Spinal cord schistosomiasis can mimic spinal cord tumor presentation and necessitate biopsy as in our case and as reported in the literature [ 6 ].…”

Section: Discussionmentioning

confidence: 75%

Spinal Cord Schistosomiasis: Two Different Outcomes

Alsomaili

Abulaban

2016

Case Rep Neurol

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Spinal cord schistosomiasis is difficult to diagnose in nonendemic areas. We report the clinical profile of 2 young Saudi males who presented with myelopathy. The first patient arrived at our hospital relatively late, i.e. 3 months following the presentation of initial symptoms, and had received both pulse steroid therapy and a plasma exchange. Praziquantel was administered late and the patient did not recover. The second case presented early, i.e. within around 8 weeks of initial symptoms. This patient received praziquantel without any kind of steroid and had a complete recovery. We concluded that prompt recognition and early treatment with praziquantel is crucial for a better outcome. The role of steroids in these cases still needs to be proven.

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Section: Discussionmentioning

confidence: 75%

Spinal Cord Schistosomiasis: Two Different Outcomes

Alsomaili

Abulaban

2016

Case Rep Neurol

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“…We are presenting an unusual case suffering from acute longitudinal extensive transverse myelitis (LETM), Mycoplasma pneumoniae, and Schistosoma mansoni infections. The radiological appearance of the spinal cord lesion (Figure 1) was suggestive of intramedullary astrocytoma or ependymoma [13][14][15], while in fact, it was a pseudotumor. This case report is unusual for the following reasons.…”

Section: Discussionmentioning

confidence: 99%

Mycoplasma pneumoniae and Schistosoma mansoni co-infection in a young patient with extensive longitudinal acute transverse myelitis

Alayafi

Alruwaili²,

Aljumah³

et al. 2022

J Infect Dev Ctries

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Introduction: Acute transverse myelitis is an uncommon inflammatory, intramedullary, disorder of the spinal cord. Spastic paraplegia, impaired sphincter functions, and sensory loss, with sensory level, are the clinical manifestations of this devastating disorder. The utilization of magnetic resonant imaging (MRI) contributes to the surge in the diagnosis of more ATM cases. Although the causes of ATM are numerous, both Mycoplasma pneumoniae and Schistosoma mansoni are uncommon causes and their co-existence in the same patient has not been reported before in Saudi Arabia. Case: We report a 25-year-old ATM male patient presented with a history of sudden onset severe low back pain. Within four hours from the onset of the back pain, he became completely paraplegic with impaired functions of the bowel and urinary bladder sphincter. Furthermore, he lost all modalities of sensory functions in the lower limbs. His examination revealed spastic complete paraplegia with sensory level at T6. Clinical neurological examination revealed normal upper limbs and brain functions. The MRI of the cervico-dorsal spine showed extensive longitudinal hyperintense lesion extending from the upper cervical segments to the lower dorsal segments (extensive longitudinal transverse myelitis). A post-infectious immune-mediated predisposition was highly suspected due to the very high titers of anti-Mycoplasma pneumoniae IgM and IgG that were detected. The immunosuppressant therapy did not improve his paraplegia. A spinal cord biopsy revealed the presence of several Schistosoma mansoni ova surrounded by chronic inflammatory reactions and reactive gliosis. Conclusions: Both Mycoplasma pneumoniae and Schistosoma mansoni should be investigated in cases with extensive longitudinal ATM.

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Intramedullary Schistosomiasis: An Unusual Cause of Myelopathy in India

Chhajed

Turel

2023

Neurol India

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Pseudo-tumoral spinal cord schistosomiasis

Cited by 3 publications

References 3 publications

Spinal Cord Schistosomiasis: Two Different Outcomes

Spinal Cord Schistosomiasis: Two Different Outcomes

Mycoplasma pneumoniae and Schistosoma mansoni co-infection in a young patient with extensive longitudinal acute transverse myelitis

Intramedullary Schistosomiasis: An Unusual Cause of Myelopathy in India

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