RESUMEN
A case of an epidural Bilharzioma mansoni (epidural granuloma due to Schistosoma mansoni) compressing the spinal cord at T11-T12 is presented. The patient, a 20-year old African man, started complaining of recurrent back pain since 1993 and became paraparetic in 1996. The myelography showed a complete block at T12 and the CT scan showed a mass at T11-T12 compressing the spinal cord. Through a bilateral laminectomy of T 10, T11 and T12, the bilharzioma was completely removed. The histopathology and the laboratory tests confirmed the diagnosis of granuloma due to Schistosoma mansoni. The patient recovered completely and was seen last time more than one year after surgery. Not a similar case has been found in the literature and the authors presume that this is the first case ever successfully treated by surgery and chemotherapy and reported in the world literature.
Asunto(s)
Granuloma/complicaciones , Paraplejía/parasitología , Esquistosomiasis mansoni/complicaciones , Compresión de la Médula Espinal/parasitología , Enfermedades de la Columna Vertebral/complicaciones , Adulto , Espacio Epidural , Granuloma/diagnóstico por imagen , Granuloma/cirugía , Humanos , Laminectomía , Masculino , Esquistosomiasis mansoni/diagnóstico por imagen , Esquistosomiasis mansoni/cirugía , Enfermedades de la Columna Vertebral/diagnóstico por imagen , Enfermedades de la Columna Vertebral/cirugía , Tanzanía , Tomografía Computarizada por Rayos XAsunto(s)
Trasplante Óseo , Huesos Faciales/anomalías , Osteotomía , Cirugía Plástica/métodos , Adolescente , Niño , Preescolar , Disostosis Craneofacial/cirugía , Huesos Faciales/cirugía , Femenino , Humanos , Hipertelorismo/cirugía , Linfangioma/cirugía , Masculino , Órbita/anomalías , Prognatismo/cirugía , Neoplasias de la Lengua/cirugíaRESUMEN
Thirty-one cases of intraspinal tumours in the African have been described, with age, sex incidence, frequency, site and histopathology shown. Intraspinal tumours in this series are compared with the larger series. Extradural and intramedullary tumours together with cervical spine tumours appear to be more frequent in this series. There is a high incidence of dumbell tumours in the neurinomas. Sarcomas are the most common type of tumours and mainly affect the thoracic spine.