Leite C C, Souza A F, Valente M, Araujo M A, Jinkins J R
Department of Radiology, Clinics Hospital, School of Medicine, University of São Paulo, São Paulo, Brazil.
Singapore Med J. 2000 Aug;41(8):417-9.
A 2-year-old Brazilian boy presented with bilateral leg weakness and constipation, followed by development of progressive paraparesis and bladder dysfunction. Neurological examination revealed flaccid paraparesis. Blood tests and CSF analysis showed eosinophilia. The MR examination revealed a spinal cord mass extending from T9 to L1 levels, with a heterogeneously-enhancing solid component and a cystic component. Stool tests for Schistosoma mansoni eggs were positive. The patient underwent surgery, the intramedullary mass was partially resected, and the diagnosis of spinal cord infection by Schistosoma mansoni was confirmed. After surgery, the patient was treated with praziquantel and oxamniquine. He was discharged with partial improvement of the lower extremity weakness and bowel/bladder function. The clinical and imaging features of spinal cord schistosomiasis are reviewed.
一名2岁巴西男孩出现双侧腿部无力和便秘，随后逐渐发展为进行性截瘫和膀胱功能障碍。神经系统检查发现弛缓性截瘫。血液检查和脑脊液分析显示嗜酸性粒细胞增多。磁共振检查显示脊髓肿块从T9延伸至L1水平，有一个强化不均匀的实性成分和一个囊性成分。曼氏血吸虫卵粪便检测呈阳性。患者接受了手术，髓内肿块部分切除，确诊为曼氏血吸虫引起的脊髓感染。术后，患者接受了吡喹酮和奥沙尼喹治疗。出院时下肢无力及肠道/膀胱功能有部分改善。本文对脊髓血吸虫病的临床和影像学特征进行了综述。
