E-ISSN 1858-8360 | ISSN 0256-4408
 

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Spinal cord schistosomiasis.

Ahmed Awad Adeel.

Abstract
Acute myelopathy is increasingly being recognized as a common neurological complication of schistosomiasis. Schistosome eggs reach the spinal cord either as egg emboli or as eggs produced by ectopic worms. This leads to inflammatory reaction and granuloma formation around the eggs. Patients with spinal schistosomiasis may not have clinical evidence of schistosomiasis. The typical clinical picture is that of lumbar pain preceded by other symptoms by hours or up to 3 weeks. Patients may present with paraparesis, urinary retention or paraplegia. Definitive diagnosis of spinal cord schistosomiasis is by detection of the eggs in a spinal cord biopsy or at autopsy. However, most cases are diagnosed based on a presumptive diagnosis that depends on a suggestive clinical picture, history or evidence of active schistosomiasis and exclusion of other conditions. Investigations include stools and urine examination for schistosome eggs, blood tests, magnetic resonance imaging (MRI) and examination of the cerebrospinal fluid. Treatment of cases is mainly by praziquantel, corticosteroids, surgical intervention and rehabilitation.

Key words: Diagnosis; Paralysis; Schistosomiasis; Spinal cord; Treatment; Urinary retention


 
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Pubmed Style

Ahmed Awad Adeel. Spinal cord schistosomiasis.. Sudan J Paed. 2015; 15(2): 23-8.


Web Style

Ahmed Awad Adeel. Spinal cord schistosomiasis.. https://sudanjp.com//?mno=280656 [Access: February 06, 2024].


AMA (American Medical Association) Style

Ahmed Awad Adeel. Spinal cord schistosomiasis.. Sudan J Paed. 2015; 15(2): 23-8.



Vancouver/ICMJE Style

Ahmed Awad Adeel. Spinal cord schistosomiasis.. Sudan J Paed. (2015), [cited February 06, 2024]; 15(2): 23-8.



Harvard Style

Ahmed Awad Adeel (2015) Spinal cord schistosomiasis.. Sudan J Paed, 15 (2), 23-8.



Turabian Style

Ahmed Awad Adeel. 2015. Spinal cord schistosomiasis.. Sudanese Journal of Paediatrics, 15 (2), 23-8.



Chicago Style

Ahmed Awad Adeel. "Spinal cord schistosomiasis.." Sudanese Journal of Paediatrics 15 (2015), 23-8.



MLA (The Modern Language Association) Style

Ahmed Awad Adeel. "Spinal cord schistosomiasis.." Sudanese Journal of Paediatrics 15.2 (2015), 23-8. Print.



APA (American Psychological Association) Style

Ahmed Awad Adeel (2015) Spinal cord schistosomiasis.. Sudanese Journal of Paediatrics, 15 (2), 23-8.





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