Multiple brain parenchymal neurocysticercosis with extraocular muscle cysticercosis affecting levator palpebral superioris and superior rectus complex: an unusual association.
An 8-year-old girl presented to the neurology department with a complaint of insidious onset of left-sided ptosis and restricted elevation of the left eye. A CT scan orbit and brain revealed a ring-enhancing lesion in the levator palpebral superioris (LPS) and superior rectus (SR) muscle complex of the left eye and left parietal and right temporal region. She was started on steroid, followed by albendazole with improvement. The LPS/SR complex is the least common site of involvement among extraocular muscles in ocular cysticercosis. Specially, with brain neurocysticercosis (NCC), it is extremely rare. We report an unusual association of multiple brain NCC with ocular cysticercosis involving LPS and SR muscle.
Department of Neurology, King George Medical University, Lucknow, Uttar Pradesh, India. drrajeshverma32@yahoo.com
Rajesh
R
Verma
Anupam
A
Jaiswal
D015766:Albendazole / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000923:Anticestodal Agents / Q000627:therapeutic use; D001763:Blepharoptosis / Q000469:parasitology; D001927:Brain Diseases / Q000188:drug therapy / Q000469:parasitology*; D002648:Child; D003551:Cysticercosis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D003907:Dexamethasone / Q000627:therapeutic use; D005260:Female; D006801:Humans; D020019:Neurocysticercosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D009801:Oculomotor Muscles / Q000000981:diagnostic imaging / Q000469:parasitology*; D011859:Radiography
D000893:Anti-Inflammatory Agents; D000923:Anticestodal Agents; D003907:Dexamethasone; D015766:Albendazole