Optic nerve cysticercosis.
Cysticercosis of the optic nerve is an extremely rare entity and only seven cases have been reported in the world literature. A case of optic nerve cysticercosis in a 25-year-old woman is reported, along with a review of literature. The patient presented with two episodes of pain, diminution of vision and proptosis. Computed tomography and ultrasonography revealed an intraneural cyst with scolex in the retrobulbar portion of the optic nerve. A positive enzyme-linked immunosorbent assay test for cysticercosis further confirmed the diagnosis. Medical therapy in the form of oral albendazole and steroids resulted in complete resolution of the cyst, with few visual sequelae.
Bajaj
Mandeep S
MS
Dr Rajendra Prasad Centre for OphthalmicSciences, All India Institute of Medical Sciences, New Delhi, India. msbajaj@medinst.ernet.in
Pushker
Neelam
N
D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000818:Animals; D000913:Antibodies, Protozoan / Q000097:blood; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D003551:Cysticercosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000469:parasitology*; D003552:Cysticercus / Q000276:immunology / Q000302:isolation & purification; D004797:Enzyme-Linked Immunosorbent Assay; D015822:Eye Infections, Parasitic / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D005260:Female; D006801:Humans; D009901:Optic Nerve Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000469:parasitology*; D011859:Radiography; D012008:Recurrence; D014794:Visual Fields
D000913:Antibodies, Protozoan; D000981:Antiprotozoal Agents; D015766:Albendazole