DOI: 10.12890/2024_004854

Neuroschistosomiasis in young Filipino patient presenting with seizure

Authors

  • Hussein Nemr Al Hussein Department of Internal Medicine, Hamad Medical Corporation, Doha, Qatar
  • Dana Alomari Department of Internal Medicine, Hamad Medical Corporation, Doha, Qatar
  • Sadi Al Nakhalah Department of Internal Medicine, Hamad Medical Corporation, Doha, Qatar
  • Gamal Alfitori Department of Internal Medicine, Hamad Medical Corporation, Doha, Qatar; Weil Cornell Medical College, Doha, Qatar

husseiny197@gmail.com

Keywords

Neuroschistosomiasis, schistosomiasis, seizures, flukes, praziquantel

Abstract

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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Published

2024-10-30

How to Cite

1.
Al Hussein HN, Alomari D, Al Nakhalah S, Alfitori G. Neuroschistosomiasis in young Filipino patient presenting with seizure. EJCRIM [Internet]. 2024 Oct. 30 [cited 2026 Nov. 3];11(11). Available from: https://ejcrim.com/index.php/ejcrim/article/view/4854