Surgical treatment of 42 patients with cerebral schistosomiasis caused by Schistosoma japonicum.

OBJECTIVE

To investigate the clinical value of surgical treatment for cerebral schistosomiasis.

METHODS

The clinical data of 42 patients with cerebral schistosomiasis caused by Schistosoma japonicum undergoing surgical therapy were analyzed retrospectively.

RESULTS

There were 25 cases undergoing total resection of schistosomal granulomas and 17 cases undergoing partial resection of the lesions involving the functional areas or more than 2 lobes, and none died of the surgery. The post-surgical follow-up showed that 31 cases recovered completely and returned to the normal work and life, 2 developed mild weaknesses of all extremities, 3 had post-surgical epileptic seizures, 2 died of schistosomal hepatic cirrhosis, and 1 died naturally.

CONCLUSIONS

Surgical treatment is an effective approach for cerebral schistosomiasis.