RESUMO
The authors report 16 patients bearing the meningomyeloradicular form of Mansonic neuroschistosomiasis diagnosed according to clinical, laboratorial and image criteria. Patients have been observed at the Neurology Ambulatory of the Federal University of Bahia, within the period of April/91 to December/93. They have been treated with praziquantel, associated to corticosteroids. The aim has been to evaluate the drug's efficiency and safety in decreasing the neurological signs and symptoms.
Assuntos
Meningite/etiologia , Mielite/etiologia , Praziquantel/uso terapêutico , Prednisona/uso terapêutico , Radiculopatia/etiologia , Esquistossomose mansoni/complicações , Adolescente , Adulto , Feminino , Humanos , Masculino , Meningite/tratamento farmacológico , Pessoa de Meia-Idade , Mielite/tratamento farmacológico , Radiculopatia/tratamento farmacológico , Esquistossomose mansoni/líquido cefalorraquidiano , Esquistossomose mansoni/diagnóstico , Esquistossomose mansoni/tratamento farmacológico , Resultado do TratamentoRESUMO
A case of schistosomiasis of the spinal cord is presented. A 16 years old boy developed a progressive spinal cord compression syndrome suggesting an intramedullary tumor. At the operation a granulomatous mass of the conus and epiconus was found and partially resected. The histopathological examination showed a granulomatous reaction surrounding Schistosoma mansoni eggs. The authors review the various aspects of spinal cord schistosomiasis, particularly the tumoral or granulomatous form. A comprehensive review of the literature is made.
