Document Detail


Pseudotumoral form of neuroschistosomiasis: report of three cases in ganzi, china.
MedLine Citation:
PMID:  22302862     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Abstract. The authors report three rare cases of neuroschistosomiasis lacking extracranial involvement. No parasitic eggs were detected in the stool with the Kato-Katz thick smear methods. Computed tomography of the brains showed hypodense signals, and magnetic resonance imaging showed isointense signals on T1-weighted images, hyperintense signals on T2-weighted images, and intensely enhancing nodules in the brain after intravenous administration of gadolinium. High-grade gliomas were suspected, and operations or radiosurgery was performed. Cerebral schistosomiasis was confirmed in all cases by biopsy of the brain lesions, revealing granulomas containing embedded Schistosoma japonicum eggs. All cases were definitively diagnosed as brain schistosomiasis japonica. Praziquantel and corticosteroids were administered, and the prognoses were good for all case patients. Although the aforementioned pattern of imaging examinations is not present in all cases of neuroschistosomiasis, a diagnosis of neuroschistosomiasis should be considered when this pattern of imaging is observed; cerebrospinal fluid serological exams are also recommended.
Authors:
Heng Wan; Hayashi Masataka; Li-Ping Zhang; De-Fu Zheng
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of tropical medicine and hygiene     Volume:  86     ISSN:  1476-1645     ISO Abbreviation:  Am. J. Trop. Med. Hyg.     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-02-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370507     Medline TA:  Am J Trop Med Hyg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  268-72     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurology and Functional Neurosurgery, West China Fourth Hospital of Sichuan University, Chengdu, People's Republic of China; Department of Neurology, Kofu City Hospital, Kofu, Japan; Department of Parasitology, Center for Disease Control and Prevention of Sichuan Province, Chengdu, People's Republic of China; Department of Neurology, Ganzi Tibetan Autonomous Prefecture People's Hospital, Ganzi, People's Republic of China.
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