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18F-FDG Hypermetabolism in Spinal Cord Schistosomiasis
Mustafa Erkan Altinyay1, Ashraf Alharthi, Ali H Alassiri
1From the *Nuclear Medicine Division, Medical Imaging Department, and Departments of †Neurology and ‡Pathology and Laboratory Medicine, King Fahad Hospital, NGHA, King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia.
Abstract:
A 24-year-old Saudi man presented with progressive lower-back pain for 3 months followed by lower-limb weakness, numbness, and urinary retention. Cerebrospinal fluid examination revealed high-protein, elevated white blood cell count with lymphocyte predominance. MRI scan of the spine demonstrated heterogeneously enhancing longitudinal spinal cord lesion from T6 through T9. FDG-PET/CT demonstrated prominently hypermetabolic lesion in the spinal cord. He had laminectomy and spinal cord (intramedullary) biopsy. Pathology revealed Schistosoma mansoni ova.
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