We report four cases of patients with schistosomiasis in the central nervous system and describe and correlate the radiologic findings with clinical manifestations. In one patient, cerebral involvement presented as a pseudotumoral lesion confirmed by autopsy. Three other patients had schistosomiasis in the spinal cord characterized by an intramedullary mass and radicular and leptomeningeal enhancement after administration of gadolinium. Our findings show the importance of considering schistosomiasis in the differential diagnosis of intramedullary or cerebral lesions in patients of endemic areas of schistosomiasis.
Schistosomiasis; Brain. Spinal cord; Magnetic resonance imaging
