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DOI:10.2214/AJR.07.3139
AJR 2008; 191:582-588
© American Roentgen Ray Society

Clinical Observations

MRI in Cerebral Schistosomiasis: Characteristic Nodular Enhancement in 33 Patients

Hanqiu Liu1, C. C. Tchoyoson Lim2,3, Xiaoyuan Feng1, Zhenwei Yao1, Yuanjun Chen4, Huaping Sun1 and Xingrong Chen1

1 Department of Radiology, Huashan Hospital, Fudan University, 12 Wulumuqi Zhong Rd., Shanghai, P.R. China, 200040.
2 Department of Neuroradiology, National Neuroscience Institute, Singapore.
3 Department of Radiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
4 Department of MRI, Yijishan Hospital, Wannan Medical College, Wuhu, P.R. China.

OBJECTIVE. The purpose of our study was to describe the characteristic MRI appearance of cerebral infection with Schistosoma japonicum.

CONCLUSION. Cerebral infection with S. japonicum can cause a characteristic MRI pattern of a large mass comprising multiple intensely enhancing nodules, sometimes with areas of linear enhancement. The typical appearance may be useful for diagnosis in endemic regions and may potentially be useful in cases imported into countries in which the disease is not endemic.

Keywords: cerebral schistosomiasis • diagnosis • MRI


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