Simultaneous intraocular and bilateral extraocular muscle involvement in a case of disseminated cysticercosis.
We report an unusual case of disseminated cysticercosis having simultaneous intraocular and extraocular involvement. This 21-year-old male presented with recent loss of vision in one eye and history of a single seizure. Examination revealed intravitreal cysticercosis with exudative retinal detachment. Computed tomographic scan showed disseminated neurocysticercosis and cysticercosis of the medial and inferior recti of both the eyes. The patient was started on albendazole and prednisolone under neurologist's supervision. Subsequent computed tomographic scan showed resolution of the extraocular muscle cysts and decrease in the number of neurocysticerci. The patient has had no further seizures. This is the first report of simultaneous intraocular and extraocular cysticercosis.
Chadha
Vikas
V
Guru Nanak Eye Centre, New Delhi, India. vikaschadha@rediffmail.com
Pandey
P K
PK
Chauhan
Depender
D
Das
Sima
S
D000328:Adult; D000818:Animals; D000909:Antibodies, Helminth / Q000032:analysis; D002531:Cerebellum / Q000000981:diagnostic imaging; D002540:Cerebral Cortex / Q000000981:diagnostic imaging; D003552:Cysticercus / Q000276:immunology; D003937:Diagnosis, Differential; D004797:Enzyme-Linked Immunosorbent Assay; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D020019:Neurocysticercosis / Q000175:diagnosis* / Q000469:parasitology; D009801:Oculomotor Muscles; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D000909:Antibodies, Helminth