After returning from Africa, a 54-year-old man began to have episodes
of headache and nausea, then a cerebral convulsion. Clinical and labor
atory findings and response to chemotherapy indicated the diagnosis of
cerebral schistosomiasis. Three lesions were seen on CT and MR studie
s: two appeared to be subacute intracerebral hematomas, one in the rig
ht parietal lobe and one in the frontal lobe; the third lesion, in the
cortex of the left occipital robe, appeared to be a cyst. These lesio
ns could represent small granulomatous tissue reactions with secondary
hemorrhages.