Neurologic manifestations of hepatic distomiasis caused by Fasciola hepatica]

The hepatic distomiasis is a parasitic and cosmopolite affection caused by a trematode Fasciola hepatica. The clinical manifestation usually includes an invasion phase with toxi-infectious hepatitis and intermittent angiocholitis episodes during the chronic phase of the disease. Many authors insist for few years, on some revealing manifestations of the disease that are unusual in the classical forms, especially the neurological manifestations that are rare and of extreme polymorphism. Based on a 12 years old tunisian child case of distomiasis caused by F. hepatica associated with neurological manifestations and through the analysis of 25 literature cases, the symptomatological and physiopathological aspects of this clinical form that generally makes the physician perplex, are reviewed.