{
  "abstract": "Background Neuroschistosomiasis is an under-recognised manifestation of systemic schistosome infection. Cerebral involvement is more common with Schistosoma japonicum and spinal complications are common with Schistosoma mansoni or haematobium. Neurological presentations include seizures, headache, encephalopathy, focal deficits, myelopathy, radiculopathy. We present case of a 40-year-old man who presented with lower limb myeloradiculopathy due to schistosomiasis.Case A 40-year-old Sudanese man presented with subacute severe lower back pain radiating to bilateral lower limbs, severe paraesthesia of lower limbs affecting mobility. He was markedly icteric. Neurological examination showed bilateral brisk knee reflexes and severe asymmetrical distal lower limbs paraesthesia. Blood tests showed elevated liver enzymes with hyperbilirubinaemia. All other peripheral neuropathy screen were negative. Imaging revealed cirrhosis of liver. Magnetic resonance imaging of brain and spine did not reveal a focal abnormality. Gabapentin helped paraesthesia well. Liver biopsy, in addition to cirrhosis, found schistosoma eggs. Serology later confirmed positive schistosome IgG (ratio 3.0, normal<0.7). Patient is scheduled to start praziquantel.Conclusion/Discussion Spinal cord schistosomiasis (SCS) is the best-known form of neuroschistosomiasis. The most common initial complaint is pain in the lower back radiating to the lower limbs followed by paraesthesia, motor weakness, abnormal reflexes, sphincteric disturbances. SCS is classified into three phenotypes; myeloradicular with spinal cord and nerve root involvement, medullary with a predominant cord involvement, and conus-cauda equina syndrome. Prognosis depends largely on early treatment; hence awareness of this condition is extremely important.",
  "authors": [
    {
      "affiliations": [
        "Neurology, Wollongong Public Hospital, Wollongong, NSW, Australia"
      ],
      "name": "Alisha Shrestha"
    },
    {
      "affiliations": [
        "Neurology, Wollongong Public Hospital, Wollongong, NSW, Australia"
      ],
      "name": "Shoaib SD Dal"
    }
  ],
  "title": "3592 A unique case of myeloradiculopathy caused by neuroschistosomiasis",
  "uid": "0e0596e8-0c4d-590a-8a42-b43a3eb56d2c"
}