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January 24, 1948


Author Affiliations

Medical Corps, Chinese Army; Medical Corps, Army of the United States; Medical Corps, Army of the United States; San Francisco

Formerly captain, Medical Corps, Army of the United States.

JAMA. 1948;136(4):230-238. doi:10.1001/jama.1948.02890210014003

Cerebral schistosomiasis is rare and few operative cases have been reported in the literature. Bayoumi1 stated that Tsunoda and Schimamura2 were the first to find Schistosoma japonicum eggs in the brain. Manson3 noted the occasional occurrence of eggs of Schistosoma haematobium in the brain and spinal cord. Faust and Meleney4 stated that Yamagiwa in 1890 mentioned the occurrence of jacksonian epilepsy in a patient with schistosomiasis japonica and that Houghton in 1910 also described a case in which he suspected that symptoms referable to the brain were due to the deposit of S. japonicum eggs. They indicated that such cases are rare. Spiridion5 in 1936 described an outbreak of schistosomiasis japonica in China. Only three patients showed neurologic involvement. Egan6 in 1936 reported 2 neurologic cases of schistosomiasis japonica in a series of 12 English sailors who went swimming in the Yangtze river near