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B.

Diagram Predisposing Factors: *Age *Race - Filipino *Gender - common in male


Precipitating Factors: *Occupation - farmer *Poor compliance to treatment *Living in schistosomiasis endemic area *Lifestyle

cercariae penetrate human skin transform into a schistosomulae remain on the skin for 2 days travels into the lungs to mature reaches the liver after 8-10 days to further mature adult worms pair and produce eggs migrate to either intestines or bladder on the bladder Batson veins permits route to the CNS worms and eggs reach the brain they secrete antigens immune response formation of granuloma on the cerebrum increased ICP (intracranial pressure)
S/Sx: 1. seizures 2. headache 3. visual abnormalities 4. Speech disturbances 5. Hemiparesis, hemiplegia, ataxia 6. Nystagmus 7. Sensory impairment

Cerebral Schistosomiasis

If treated: Nursing mgt: 1. Health teachings regarding prevention of reinfection, compliance to treatment, follow-up check-ups, and lifestyle modification.

If not treated: DEATH

Medical mgt: 1. Antischistosomal drugs such as Praziquantel to cause death of the adult worm, resulting in cessation of oviposition and thus a reduction in the inflammatory response. 2. Corticosteroids to diminish granulomatous inflammation and edema, thereby reducing the compression and destruction of the nervous tissue. 3. Anticonvulsant to prevent or stop/control ongoing seizures.

Surgical mgt: Surgical excision is not encouraged.

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