关键词: brain lesion headache neuroschistosomiasis parasite infection schistosoma

来  源:   DOI:10.7759/cureus.45418   PDF(Pubmed)

Abstract:
Neuroschistosomiasis is a rare manifestation of schistosomal infections presenting with cerebral and spinal cord involvement. We reported a case of a 31-year-old woman who presented with a history of headache, dizziness, and nausea. Brain MRI with contrast showed features suggestive of brain lesion with edema, and a serology test for Schistosoma was positive. She was diagnosed with neuroschistosomiasis and treated with intravenous steroids followed by praziquantel resulting in a significant regression of the brain mass. Cerebral neuroschistosomiasis is a rare complication of Schistosoma infection, and clinicians should consider it among the differential diagnosis of unexplained brain lesions.
摘要:
神经血吸虫病是血吸虫感染的罕见表现,伴有脑和脊髓受累。我们报道了一例31岁的女性,她有头痛史,头晕,和恶心。增强脑MRI显示脑病变伴水肿的特征,血吸虫血清学检测呈阳性.她被诊断出患有神经血吸虫病,并接受静脉注射类固醇治疗,然后接受吡喹酮治疗,导致脑质量明显消退。脑神经血吸虫病是血吸虫感染的罕见并发症,临床医生应将其纳入不明原因脑部病变的鉴别诊断中。
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