Spinal cord schistosomiasis: a pediatric case mimicking intrinsic cord neoplasm.
We present the clinical, myelographic, MRI, and histologic data on a 7-year-old girl with confirmed Schistosoma mansoni infection of the spinal cord. MRI of the granulomatous spinal lesion revealed extensive enlargement of the cord in the T11-12 area, with some intramedullary swelling extending to T-5 through T-7. The clinical manifestations of spinal schistosomiasis can be diverse, and there should be a high index of suspicion for all patients from endemic areas.
Selwa
L M
LM
Department of Neurology, University of Michigan, Ann Arbor.
Brunberg
J A
JA
Mandell
S H
SH
Garofalo
E A
EA
D000328:Adult; D000818:Animals; D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D012550:Schistosoma mansoni / Q000302:isolation & purification; D012555:Schistosomiasis mansoni / Q000175:diagnosis* / Q000473:pathology; D013116:Spinal Cord / Q000469:parasitology; D013118:Spinal Cord Diseases / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D013120:Spinal Cord Neoplasms / Q000175:diagnosis*