Bilharzia is, after malaria, the most widespread parasitic disease in Africa. It poses a public health problem in sub-Saharan Africa, especially in Mauritania. Pathologically, spinal localization is a rare and severe form of Schistosoma infection. The clinical manifestations are non-specific; spinal MRI makes it possible to confirm the diagnosis and specify the site of intradural extra/or intramedullary lesions. These lesions pose the problem of differential diagnosis with other pathologies of the same site.
The prognosis depends on the early diagnosis and treatment.
We report the case of a young Mauritanian man aged 34 year who consulted for terminal conus medullaris syndrome with rapid onset flaccid paraplegia associated with sphincter disorders.
Spinal MRI showed intradural extramedullary spinal cord compression
The diagnosis was confirmed by the histopathological study.
