ABSTRACT
Introduction: Schistosomiasis is a parasitic infection caused by schistosome invasion of blood circulation. Neuroschistosomiasis is a severe cerebral complication that accounts for less than 2.3% of reported cases. Patients present with progressive encephalitis, seizures, or both. Management includes antiparasitic medications, steroids, and surgical intervention. Case Presentation. We report a case of a 44-year-old female who presented to the ER with a history of transient loss of consciousness (LOC) and seizure. Radiological investigations revealed a right frontal brain lesion. Histopathological results confirmed the diagnosis of schistosomiasis. Conclusion: Schistosomiasis is a parasitic infection commonly diagnosed in patients who live in tropical areas. Early diagnosis with radiological and histopathological evaluation is required to identify patients at risk of developing severe neurological complications.
ABSTRACT
BACKGROUND: Double myelomeningocele are rare pathologies, with multiple cases described in developing countries. Causative factors are multifactorial, with folate deficiency as a leading associated factor. We describe a case of double myelomeningocele in the upper thoracic and thoracolumbar spine associated with split cord malformation, with emphasis on imaging appearance of this case. CASE DESCRIPTION: This is a full-term newborn baby boy delivered through a cesarean section due to an antenatal diagnosis of multiple myelomeningoceles in the upper thoracic and thoracolumbar spine. The baby was operated 24 h after delivery to repair the defects and insert a ventriculoperitoneal (VP) shunt for associated hydrocephalus. The baby tolerated the operation well and is being followed and managed by a multi-disciplinary team. CONCLUSION: Antenatal screening for myelomeningocele is paramount for prompt management. Multiple myelomeningoceles are uncommon, yet their management remains similar to single myelomeningocele.
