Conus Medularis Neuroschistosomiasis in a 12-year old boy

Authors

  • Dr. Makini Atuti Department of Surgery, Machakos Level 5 Hospital, Kenya https://orcid.org/0000-0001-8326-0462
  • Dr. Felix Nyang'wechi Nyatigo Department of Surgery, Machakos Level 5 Hospital, Kenya
  • Dr. Orlando Manuel Rios Mastrapa Department of Surgery, Machakos Level 5 Hospital, Kenya

Keywords:

neuroschistosomiasis, spinal cord, conus medularis, schistosomiasis

Abstract

Introduction: Neuroschistosomiasis, an infrequent consequence of schistosomal infection, typically presents with deteriorating motor and sensory function coupled with sphincter dysfunction. Diagnosis involves a clinical history, physical examination, cerebrospinal fluid studies, and imaging. Case report: We detail the case of a 12-year-old boy hailing from Machakos County, who manifested lower limb weakness and urine retention for two weeks. Examination unveiled diminished lower limb tone and areflexia, with a power grade of 0 in distal muscles below the knee and normal muscle bulk. Magnetic resonance imaging revealed a cauda equina region tumor. Subsequent histopathology after tumor-debulking surgery unveiled schistosomal-associated necrotizing granulomatous inflammation. Following tumor resection at T1-L1 and receipt of histopathology results, the patient underwent optimum pain management and praziquantel therapy. Clinical improvement ensued, albeit with distal paralysis. Conclusion: Our case highlights the necessity of heightened suspicion for cauda equina tumors in young patients from schistosoma-endemic regions, advocating early diagnosis and management involving praziquantel treatment.

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Published

30-01-2024

How to Cite

1.
Atuti M, Nyang’wechi Nyatigo F, Mastrapa OMR. Conus Medularis Neuroschistosomiasis in a 12-year old boy. EAJNS [Internet]. 2024 Jan. 30 [cited 2024 Feb. 26];3(1):22-6. Available from: https://theeajns.org/index.php/eajns/article/view/214

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Section

Case reports