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Year : 2020  |  Volume : 4  |  Issue : 1  |  Page : 35-37

Diagnosis of neuroschistosomiasis: How to overcome this challenge

1 Department of General Internal Medicine, Hamad General Hospital, Doha, Qatar
2 Department of Radiology, Hamad General Hospital, Doha, Qatar

Correspondence Address:
Dr. Ijaz Kamal
Department of General Internal Medicine, Hamad General Hospital, Post Box No. 3050. Doha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/LJMS.LJMS_66_19

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We report the case of a 25-year-old female from the Philippines who presents with seizure and left-sided body weakness. Initial magnetic resonance imaging showed cortical mass lesion suggestive of tumor or neuroschistosomiasis based on her ethnicity. This study aimed to confirm the diagnosis which can be done with direct brain biopsy which is associated with complications and rule out other causes such as tumor. The identification of schistosome eggs in a stool or urine sample is the gold standard for the diagnosis of schistosomiasis. However, the alternative model for the diagnosis of neuroschistosomiasis requires the detection of infection at an extraneural site which is suitable for biopsy together with laboratory and imaging evidence. This approach will help to avoid direct brain biopsy and its associated complications.

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