Longitudinally Extensive Transverse Myelitis: A Sub-Saharan Conundrum
Spinal cord schistosomiasis is a rare, underdiagnosed manifestation of schistosomiasis. We present the case of a 36-year-old male who presented to our institution with a one-week history of low back pain with rapidly progressive lower limb weakness, loss of sensation, and flaccid paraparesis. An MRI...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/8879121 |
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| _version_ | 1832554020987731968 |
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| author | Antonina Obayo Sylvia Mbugua Sayed K. Ali |
| author_facet | Antonina Obayo Sylvia Mbugua Sayed K. Ali |
| author_sort | Antonina Obayo |
| collection | DOAJ |
| description | Spinal cord schistosomiasis is a rare, underdiagnosed manifestation of schistosomiasis. We present the case of a 36-year-old male who presented to our institution with a one-week history of low back pain with rapidly progressive lower limb weakness, loss of sensation, and flaccid paraparesis. An MRI of the spine showed a longitudinally extensive transverse myelitis from T6 to L1, with enhancement at the cauda equina region. Further review of the images and serological tests eventually led to diagnosis of spinal schistosomiasis. He was treated with praziquantel and high-dose steroids, with minimal improvement in his symptoms. |
| format | Article |
| id | doaj-art-79e824b0883745a591f8b20675339590 |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-79e824b0883745a591f8b206753395902025-02-03T05:52:34ZengWileyCase Reports in Neurological Medicine2090-66682090-66762020-01-01202010.1155/2020/88791218879121Longitudinally Extensive Transverse Myelitis: A Sub-Saharan ConundrumAntonina Obayo0Sylvia Mbugua1Sayed K. Ali2Department of Medicine, Aga Khan University, Nairobi, KenyaNeurology, Department of Medicine, Aga Khan University, Nairobi, KenyaInternal Medicine, Department of Medicine, Aga Khan University, Nairobi, KenyaSpinal cord schistosomiasis is a rare, underdiagnosed manifestation of schistosomiasis. We present the case of a 36-year-old male who presented to our institution with a one-week history of low back pain with rapidly progressive lower limb weakness, loss of sensation, and flaccid paraparesis. An MRI of the spine showed a longitudinally extensive transverse myelitis from T6 to L1, with enhancement at the cauda equina region. Further review of the images and serological tests eventually led to diagnosis of spinal schistosomiasis. He was treated with praziquantel and high-dose steroids, with minimal improvement in his symptoms.http://dx.doi.org/10.1155/2020/8879121 |
| spellingShingle | Antonina Obayo Sylvia Mbugua Sayed K. Ali Longitudinally Extensive Transverse Myelitis: A Sub-Saharan Conundrum Case Reports in Neurological Medicine |
| title | Longitudinally Extensive Transverse Myelitis: A Sub-Saharan Conundrum |
| title_full | Longitudinally Extensive Transverse Myelitis: A Sub-Saharan Conundrum |
| title_fullStr | Longitudinally Extensive Transverse Myelitis: A Sub-Saharan Conundrum |
| title_full_unstemmed | Longitudinally Extensive Transverse Myelitis: A Sub-Saharan Conundrum |
| title_short | Longitudinally Extensive Transverse Myelitis: A Sub-Saharan Conundrum |
| title_sort | longitudinally extensive transverse myelitis a sub saharan conundrum |
| url | http://dx.doi.org/10.1155/2020/8879121 |
| work_keys_str_mv | AT antoninaobayo longitudinallyextensivetransversemyelitisasubsaharanconundrum AT sylviambugua longitudinallyextensivetransversemyelitisasubsaharanconundrum AT sayedkali longitudinallyextensivetransversemyelitisasubsaharanconundrum |