Unique linear and nodular MR enhancement pattern in schistosomiasis of the central nervous system: report of three patients.

Sanelli, P C; Lev, M H; Gonzalez, R G; Schaefer, P W · AJR Am J Roentgenol · 2001

case_series · Level IV

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Abstract

The purpose of this paper is to describe the unique MR imaging appearance of schistosomiasis of the central nervous system (CNS). Contrast-enhanced T1-weighted MR images in all three patients with CNS schistosomiasis revealed a central linear enhancement surrounded by multiple enhancing punctate nodules, forming an "arborized" appearance. Pathologically, this enhancement pattern correlated with a host granulomatous response to Schistosoma species ova. Although the pattern is not present in all cases of CNS schistosomiasis, when it is observed, a diagnosis of CNS schistosomiasis should be considered.

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