Case Reports in Surgery (Jan 2023)

Schistosomiasis Involving the Central Nervous System: Case Report of a Rare Complication

  • Rahaf F. Alanazi,
  • Maryam Al Karawi,
  • Abdulrahman Almalki,
  • Fahd Sufiani,
  • Sarmad Al Karawi

DOI
https://doi.org/10.1155/2023/9968155
Journal volume & issue
Vol. 2023

Abstract

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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.