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Neuroschistosomiasis presenting as recurrent seizures: A case report
Anushree Bansal1, Joselv Eullaran Albano2, Dheeraj Jayakumar1
1Department of Pediatrics, Davao Medical School Foundation, Medical Center, Davao City, Philippines.
Surgical Neurology International
|March 5, 2025
Summary
Cerebral schistosomiasis can mimic other neurological conditions, presenting diagnostic challenges. A brain biopsy confirmed the diagnosis in a teen with seizures, guiding effective treatment.
Area of Science:
- Neurology
- Infectious Diseases
- Parasitology
Background:
- Cerebral pseudotumoral schistosomiasis is a rare condition.
- It presents diagnostic challenges due to mimicking other neurological disorders.
- Patients may exhibit persistent seizures and imaging suggestive of infection.
Observation:
- A 16-year-old male presented with persistent headaches and recurrent seizures.
- Neuroimaging was inconclusive, suggesting either tuberculoma or cerebral schistosomiasis.
- A definitive diagnosis was pursued via brain tissue biopsy.
Findings:
- Brain biopsy confirmed cerebral schistosomiasis.
- The diagnosis led to appropriate treatment and clinical improvement.
Implications:
- Highlights the importance of biopsy for definitive diagnosis in ambiguous cases.
- Suggests exploring adjunct diagnostic methods like magnetic resonance spectroscopy.
- Aims to reduce or eliminate the need for invasive open biopsies.
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