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  • Title: Paucisymptomatic brainstem lesions revealing CNS schistosomiasis.
    Author: Rommel D, Ragé M, Duprez T, Parent M, Sindic CJ.
    Journal: Acta Neurol Belg; 2005 Jun; 105(2):89-93. PubMed ID: 16076063.
    Abstract:
    We describe clinical and magnetic resonance (MR) features in a 69-year-old, Caucasian woman presenting with an unusual meningeal onset of cerebral schistosomiasis. Magnetic resonance work-up demonstrated supra- and infratentorial lesions with prominent brainstem involvement contrasting with the paucisymptomatic clinical presentation. Because of a recent stay in Uganda, including swimming in Lake Victoria, a diagnosis of neuroschistosomiasis was suggested. Serological tests and rectal biopsy confirmed the putative diagnosis. The patient was successfully treated with praziquantel at a dose of 50 mg/kg/day for 15 days. Brain MRI abnormalities improved dramatically within two months.
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