Ba M C, Thiam A B, Ndoye N, Wahab I, Thioub M, Sakho Y, Badiane S B
Service de neurochirurgie, CHU de Fann Dakar, BP 5382 Dakar Fann, Dakar, Sénégal.
Neurochirurgie. 2012 Aug;58(4):272-4. doi: 10.1016/j.neuchi.2012.04.003. Epub 2012 May 29.
Human schistosomiasis is the second endemic disease after malaria. About 200 millions people are concerned, particularly in Africa, South America and Asia. Schistosomal spinal cord compression is under reported in Africa and not well known. Authors present the case of a 10-year-old boy with no suggestive past-medical story, admitted for spinal cord compression. MRI shows tumor like intra dural lesion. Schistosomal granuloma was found after lesion removal by posterior approach. Treatment was completed by praziquantel. Controversies of the treatment are presented.
人类血吸虫病是仅次于疟疾的第二大地方病。约有2亿人受到影响,特别是在非洲、南美洲和亚洲。非洲关于血吸虫性脊髓压迫症的报道不足,且人们对此病了解不多。作者报告了一例10岁男孩的病例,该男孩既往无相关病史,因脊髓压迫症入院。磁共振成像显示硬膜内有肿瘤样病变。通过后路手术切除病变后发现了血吸虫肉芽肿。采用吡喹酮完成治疗。文中还介绍了治疗方面的争议。