Schistosomal myelopathy and radiculopathy
Diagnosis:
A combination of Schistosoma tests plus MRI and clinical features
Clinical features:
Features of myelopathy & radiculopathy & current or past Schistosomal infection
Findings on Investigations:
MRI: lower thoracic & cona medularis or cauda equina, enlargement, T2 hyperintensity, T1 gadolinium enhancement (linear or micronodular)
Tests for: S. mansoni or S. hematobium serology and stool tests for eggs.
CSF: Pleocytosis, lymphocytosis, eosinophils occur, normal glucose
Peripheral blood eosinophilia