|
| Clinical presentation |
| Eosinophilia was the most frequent finding, followed by cardiac abnormalities (myocarditis/ST wave inversion), disorientation and confusion, fever, gait ataxia, hemiplegia, headache, urticaria, memory impairment, dysarthria and other non-specified speech disturbance. |
|
| Cerebrovascular involvement |
| Watershed infarction, cerebral vasculitis, vasculitis and stenosis of the extracranial portion of the carotid artery have been described in different patients affected by schistosomiasis reported. |
|
| Laboratory investigations |
| On admission patient have presented with positive serology or seroconversion occurred during hospitalization. In some cases were stool and urinary samples were negative on admission, a late stool and urine positivity has be observed. |
|
| Additional events |
| Case 5: VI nerve palsy deemed to be caused by worsening of the vasculitis at the right carotid syphon level, with consequent compression of the nerve trunk [6]. |
| Case 8: new cerebral infarcts, detected at MRI, 9 weeks after the first event [16]. |
|
| Neurological outcome |
| Case 1: no recurrence of neurological symptoms was reported, but details of outcome were not provided. |
| Cases 2, 4, 7: A full neurological recovery was reported respectively after 6 months, 48 h and 5 days after steroid therapy. |
| Case 3: psychomotor impairment and insomnia persisted at 4 months. |
| Case 5: no information on clinical improvement was reported. Diplopia due to VI nerve palsy regressed 24 hours after steroid therapy, with no relapse. Minor improvement of carotid stenosis was reported at 6 month follow-up [6]. |
| Case 6: no specified outcome |
| Case 8: partial recovery of gait occurred, which became possible without aid. |
|
| Overall outcome |
| No deaths have been reported among cases |
|
