SCHISTOSOMIASIS JAPONICA WITH INTRACEREBRAL GRANULOMA; OPERATIVE REMOVAL WITH RECOVERY

Abstract
SCHISTOSOMIASIS japonica, or Oriental schistosomiasis, being limited to foci in Japan, Formosa, China, the Philippines and the Celebes, is rarely seen in this country. Cerebral symptoms and manifestations of this infection are experienced even more uncommonly. The first of such cases was published in 1906 by Tsunoda and Shimamura.1Their patient experienced indigestion and abdominal pain in 1901, began to have convulsive seizures with loss of consciousness and aphasia in 1903 and, after a series of right-sided convulsions, presented a right hemiplegia. Autopsy, in August 1904, revealed diffuse thickening of the cerebral meninges, with abnormal masses in the left parietal region, partly in the gray and partly in the white matter, as well as a zone of softening involving the internal capsule, the optic thalamus and the basal ganglia on the left side. The ova were also discovered in the choroid plexus and the spinal cord. In 1935 Nieva

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