We describe clinical and magnetic resonance (MR) features in a 69-year-old, Caucasian woman presenting with an unusual meningeal onset of cerebral schistosomiasis. Magnetic resonance work-up demonstrated supra- and infratentorial lesions with prominent brain-stem involvement contrasting with the paucisymptomatic clinical presentation. Because of a recent stay in Uganda, including swimming in Lake Victoria, a diagnosis of neuroschistosomiasis was suggested. Serological tests and rectal biopsy confirmed the putative diagnosis. The patient was successfully treated with praziquantel at a dose of 50 mg/kg/day for 15 days. Brain MRI abnormalities improved dramatically within two months.
Rommel, D., Rage, M., Duprez, T., Parent, M., & Sindic, C. (2005). Paucisymptomatic brainstem lesions revealing CNS schistosomiasis. Acta Neurologica Belgica, 105(2), 89-93. https://hdl.handle.net/2078.5/99160 (Original work published 2005)