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  • Title: Ectopic fascioliasis in the dorsal spine: case report.
    Author: Vatsal DK, Kapoor S, Venkatesh V, Vatsal P, Husain N.
    Journal: Neurosurgery; 2006 Sep; 59(3):E706-7; discussion E706-7. PubMed ID: 16955027.
    Abstract:
    OBJECTIVE: Parasitic myelopathy is rare. We report ectopic infestation of the spine by Fasciola hepatica. CLINICAL PRESENTATION: A young woman presented with gradual onset paraplegia with bladder and bowel involvement. A magnetic resonance imaging scan showed an epidural mass lesion that was isotense on T1-weighted images and hyperintense on T2-weighted images, extending from T4-T7 vertebra with extradural cord compression. She was diagnosed with cord compression, possibly owing to tubercular epidural granulation tissue. INTERVENTION: During surgery, a mobile, flat, leaf-like, pink parasite was found in the epidural space. Morphological and histological indices confirmed the parasite as Fasciola hepatica. CONCLUSION: Ectopic spinal localization of Fasciola may occur during the transmigration path of the parasite through peritoneum or from the liver through portal venous system.
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