DOI: 10.12890/2024_004854
Neuroschistosomiasis in young Filipino patient presenting with seizure
Authors
husseiny197@gmail.com
Keywords
Neuroschistosomiasis, schistosomiasis, seizures, flukes, praziquantelAbstract
Neuroschistosomiasis, a rare manifestation of schistosomiasis affecting the central nervous system (CNS), can result in severe neurological complications if not promptly diagnosed and treated. The condition arises due to the development of granulomas around eggs that become lodged within the CNS. Here we present a case report involving a young Filipino individual who had recurrent, uncontrolled seizures, ultimately attributed to neuroschistosomiasis. On magnetic resonance imaging revealed that the patient had brain lesions consistent with neuroschistosomiasis. Concurrently, serologic tests revealed high titres of anti-schistosoma antibodies. Effective treatment encompassed the administration of corticosteroids and praziquantel, leading to a favourable clinical outcome. This case underscores the necessity of considering neuroschistosomiasis in seizure patients, particularly in regions where the condition is prevalent, and highlights the diagnostic and therapeutic complexities posed by the absence of a biopsy.
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