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Schistosoma mansoniEncephalomyelitis

Schistosoma mansoniEncephalomyelitis IMAGES IN NEUROLOGY 27-YEAR-OLD BRAZIL- ian woman had a his- tory of lumbar and lower-limb pain as- sociated with a pro- gressive decrease in muscle strength and paresthesias. Neurological ex- amination findings revealed flaccid paraparesis, lack of patellar and Achil- les-tendon bilateral reflexes, and uri- nary retention. Thoracic and lum- bar spinal cord magnetic resonance imaging showed a hyperintense sig- nal extending from T3 to T6. She was diagnosed as having an inflamma- tory myeloradiculopathy, and corti- costeroid therapy was started with Figure 1. Axial contrast-enhanced T1-weighted Figure 2. Coronal contrast-enhanced magnetic resonance imaging showing a lesion in T1-weighted magnetic resonance imaging partial improvement in her condi- the right parieto-occipital region with the typical showing a lesion in the left cerebellar tion. Five months after being dis- findings of multiple intensely enhancing small hemisphere extending to the vermis, middle charged from hospital, she was re- nodules clustered around the area of central cerebellar peduncle, and bulbo-pontine junction. linear enhancement, forming an “arborized” or admitted owing to tonicoclonic “three-in-bud” appearance. seizures and visual impairment. Brain magnetic resonance imaging re- COMMENT next reach the liver via the splanch- vealed a right parieto-occipital mass nic vasculature. (Figure 1) and a lesion in http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Neurology American Medical Association

Schistosoma mansoniEncephalomyelitis

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References (5)

Publisher
American Medical Association
Copyright
Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6149
eISSN
2168-6157
DOI
10.1001/archneurol.2011.198
pmid
21911702
Publisher site
See Article on Publisher Site

Abstract

IMAGES IN NEUROLOGY 27-YEAR-OLD BRAZIL- ian woman had a his- tory of lumbar and lower-limb pain as- sociated with a pro- gressive decrease in muscle strength and paresthesias. Neurological ex- amination findings revealed flaccid paraparesis, lack of patellar and Achil- les-tendon bilateral reflexes, and uri- nary retention. Thoracic and lum- bar spinal cord magnetic resonance imaging showed a hyperintense sig- nal extending from T3 to T6. She was diagnosed as having an inflamma- tory myeloradiculopathy, and corti- costeroid therapy was started with Figure 1. Axial contrast-enhanced T1-weighted Figure 2. Coronal contrast-enhanced magnetic resonance imaging showing a lesion in T1-weighted magnetic resonance imaging partial improvement in her condi- the right parieto-occipital region with the typical showing a lesion in the left cerebellar tion. Five months after being dis- findings of multiple intensely enhancing small hemisphere extending to the vermis, middle charged from hospital, she was re- nodules clustered around the area of central cerebellar peduncle, and bulbo-pontine junction. linear enhancement, forming an “arborized” or admitted owing to tonicoclonic “three-in-bud” appearance. seizures and visual impairment. Brain magnetic resonance imaging re- COMMENT next reach the liver via the splanch- vealed a right parieto-occipital mass nic vasculature. (Figure 1) and a lesion in

Journal

JAMA Neurology – American Medical Association

Published: Sep 1, 2011

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