This protocol applies to patients with cerebral schistosomiasis and confirmed central nervous system (CNS) involvement who do not exhibit signs of intracranial hypertension.
All Schistosoma species may infect the CNS. Cerebral schistosomiasis is most frequently caused by S. japonicum. The absence of intracranial hypertension defines a specific management pathway distinct from cases with raised intracranial pressure.
When intracranial hypertension is absent, management combines corticosteroid therapy with antiparasitic treatment — further clinical considerations apply depending on individual presentation.