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Cerebral schistosomiasis: MR and CT appearance
K W Preidler1, T Riepl, D Szolar
1Department of Radiology, Karl Franzens University of Graz, Austria.
AJNR. American Journal of Neuroradiology
|September 1, 1996
Summary
Cerebral schistosomiasis, a parasitic brain infection, can manifest as seizures and neurological deficits. Imaging revealed lesions consistent with granulomatous reactions and hemorrhages, aiding diagnosis.
Area of Science:
- Neurology
- Infectious Diseases
- Parasitology
Background:
- Schistosomiasis is a parasitic disease prevalent in tropical regions.
- Cerebral involvement is a rare but serious complication of schistosomiasis.
Observation:
- A 54-year-old male presented with headache, nausea, and cerebral convulsions post-travel to Africa.
- Clinical and laboratory data, along with chemotherapy response, suggested cerebral schistosomiasis.
- CT and MR imaging identified three lesions: two intracerebral hematomas and one cyst.
Findings:
- The observed lesions, including intracerebral hematomas and a cyst, are consistent with cerebral schistosomiasis.
- These findings suggest granulomatous tissue reactions with secondary hemorrhages as the underlying pathology.
- The case highlights the importance of considering parasitic infections in neurological presentations.
Implications:
- Early diagnosis and treatment of cerebral schistosomiasis are crucial for preventing severe neurological damage.
- Neuroimaging plays a vital role in identifying characteristic lesions of parasitic brain infections.
- This case underscores the need for increased awareness of neglected tropical diseases in endemic and non-endemic areas.