{"id":"11691f9f-d2a8-4761-a922-e89ada4f5e78","slug":"medullary-schistosomiasis","title":"Medullary schistosomiasis","authors":["Lia Pappamikail","Paulo Fernandes","Casimiro Gonçalves"],"abstract":"Background: Schistosomal infestation of the central nervous system is a rare cause of cord compression, although a predominant one in endemic areas. Case Description: A 38-year-old male, native of Ivory Coast, with a history of 1 month of progressive paraparesis, neurogenic bladder, diminished deep tendon reflexes of the lower limbs, and sensory level. The magnetic resonance imaging (MRI) showed a medullary lesion at D4-D5 level, suggestive of an intramedullary tumor. Laminotomy of D3 to D5 and excision of a grayish white lesion according to a preliminary histopathologic review suggestive of a high grade glioma. Definitive histopathology review established the diagnosis of medullary schistosomiasis. Conclusion: Schistosomal myeloradiculopathy should be considered in patients presenting with cord compression or features of transverse myelitis, especially in patients from endemic areas or low social economic settlements.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/11691f9f-d2a8-4761-a922-e89ada4f5e78/featured/hero-1782420941594.png","publishDate":"2014-05-09T00:00:00.000Z","doi":"10.4103/2152-7806.132235","categories":["Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/11691f9f-d2a8-4761-a922-e89ada4f5e78/pdf"}