Lambertucci José Roberto, Souza-Pereira Silvio Roberto, Carvalho Tânia Antunes
Infectology and Tropical Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Rev Soc Bras Med Trop. 2009 May-Jun;42(3):338-41. doi: 10.1590/s0037-86822009000300019.
Simultaneous occurrence of brain tumor and myeloradiculopathy in cases of Manson's schistosomiasis have only rarely been described. We report the case of a 38-year-old man who developed seizures during a trip to Puerto Rico and in whom a brain tumor was diagnosed by magnetic resonance imaging: brain biopsy revealed the diagnosis of schistosomiasis. He was transferred to a hospital in the United States and, during hospitalization, he developed sudden paraplegia. The diagnosis of myeloradiculopathy was confirmed at that time. He was administered praziquantel and steroids. The brain tumor disappeared, but the patient was left with paraplegia and fecal and urinary dysfunction. He has now been followed up in Brazil for one year, and his clinical state, imaging examinations and laboratory tests are presented here.
曼氏血吸虫病患者同时发生脑肿瘤和脊髓神经根病的情况鲜有报道。我们报告一例38岁男性病例，该患者在前往波多黎各旅行期间出现癫痫发作，经磁共振成像诊断为脑肿瘤：脑活检确诊为血吸虫病。他被转至美国一家医院，住院期间突然出现截瘫。当时脊髓神经根病的诊断得到证实。他接受了吡喹酮和类固醇治疗。脑肿瘤消失，但患者仍遗留截瘫以及大小便功能障碍。他目前在巴西已随访一年，本文展示了其临床状况、影像学检查及实验室检查结果。
