Magnetic resonance imaging in the diagnosis of subretinal cysticercosis.
OBJECTIVE
To report a case of ocular cysticercosis and associated magnetic resonance imaging (MRI) findings.


METHODS
Interventional case report.


METHODS
A 56-year-old woman from Ecuador presented with decreased vision and an exudative retinal detachment in the left eye. Subretinal cysticercosis was suspected.


RESULTS
In the left eye, a subretinal cyst evident on fundus examination was investigated with B-scan ultrasonography. Ultrasonography showed a cystic structure, and MRI of the orbit confirmed the suspicion for cysticercosis. Magnetic resonance imaging of the brain also revealed a small parenchymal lesion in the left occipital lobe of the brain.


CONCLUSIONS
Magnetic resonance imaging is a useful adjunct to B-scan ultrasonography in the diagnosis of ocular cysticercosis. Magnetic resonance imaging is superior to computed tomography in the demonstration of cystic structures in the eye and central nervous system. This finding has important therapeutic implications, as any viable cysticercus in the eye or cerebral parenchyma can be treated surgically or medically, respectively.
Chung
Gary W
GW
Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, 60612, USA.
Lai
Wico W
WW
Thulborn
Keith R
KR
Menner
Carol
C
Blair
Norman P
NP
Pulido
Jose S
JS
D003551:Cysticercosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D015822:Eye Infections, Parasitic / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D020019:Neurocysticercosis / Q000175:diagnosis; D009778:Occipital Lobe / Q000473:pathology; D012164:Retinal Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D014463:Ultrasonography