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A case of 'tropical' myelopathy
G Laureys1, C Chaskis, C Bourgain
1Department of Neurology, UZ-VUB Brussels, Belgium. Guy.Laureys@uzbrussel.be
Abstract:
We present a case of lower limb sensory disturbances and weakness in a patient originating from Mali. MRI showed a diffuse myelopathy of the cervical and thoracic spinal cord. Serological evaluation of blood and cerebrospinal fluid pointed towards schistosomiasis as the cause. Histological confirmation was made on bladder-biopsy. Treatment with praziquantel and steroids brought marked clinical improvement. This case illustrates the need to keep in mind more exotic causes of myelopathy in those patients coming from endemic regions.
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