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 Volume 63, Number 2, July 27, 2004
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NEUROLOGY 2004;63:388-391
© 2004 American Academy of Neurology
Brief Communications

Schistosoma mansoni myelopathy

Clinical and pathologic findings

F. J. Carod Artal, MD PhD, A. P. Vargas, MD, T. A. Horan, MD FRCSC, P. B. Marinho, MD and P. H. Coelho Costa, MD

From the Departments of Neurology (Drs. Carod Artal, Vargas, and Marinho) and Pathology (Dr. Coelho Costa) and Centro SARAH de Formação e Pesquisa (Drs. Carod Artal and Horan), Hospital Sarah, Brasilia, Brazil.

Address correspondence and reprint requests to Dr. F.J. Carod Artal, Neurology Department, Sarah Hospital, SMHS, quadra 501, conjunto A, CEP 70330-150, Brasília DF, Brazil; e-mail: javier{at}bsb.sarah.br/FJCarod@aol.com

Thirteen patients with Schistosoma mansoni myelopathy are reported. Neurologic syndromes included acute areflexic flaccid paraplegia (three), thoracic myelopathy with hyperreflexia and Babinski sign (six), and a cauda equina syndrome (four). Inflammatory granulomas and a schistosome worm in a leptomeningeal vein of the spinal cord were observed in the one patient coming to necropsy.

Received January 4, 2004. Accepted in final form March 4, 2004.




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