Schistosomiasis of the conus medullaris
3 year old boy presented with back pain and leg weakness after a fall. Plain radiographs of the T-L spine showed no evidence of bony trauma.
Loading Stack -
0 images remaining
There is fusiform expansion of the conus medullaris with mild T2 hyperintensity. This is consistent with an intramedullary mass. No bone or soft tissue oedema. No extension into the neuroforamen.
Contrast was not given.
CSF analysis for Schistosoma serology was not available. Thus, laminectomy and biopsy of the conus mass was done. Histology was positive for Schistosoma haematobium.
Patient was treated medically for schistosomiasis and recovered well.