title: Disseminated neurocysticercosis presenting as isolated acute monocular painless vision loss.
abstract: Neurocysticercosis, the most common parasitic infection of the nervous system, is known to affect the brain, eyes, muscular tissues and subcutaneous tissues. However, it is very rare for patients with ocular cysts to have concomitant cerebral cysts. Also, the dominant clinical manifestation of patients with cerebral cysts is either seizures or headache. We report a patient who presented with acute monocular painless vision loss due to intraocular submacular cysticercosis, who on investigation had multiple cerebral parenchymal cysticercal cysts, but never had any seizures. Although such a vision loss after initiation of antiparasitic treatment has been mentioned previously, acute monocular vision loss as the presenting feature of ocular cysticercosis is rare. We present a brief review of literature along with this case report.
authors.affiliation: Department of Neurology, Dr. Sampurnanand Medical College and Mahatma Gandhi Hospital, Jodhpur, Rajasthan, India.
authors.forename: Gaurav M
authors.initials: GM
authors.lastname: Kasundra
authors.affiliation: Department of Neurology, Dr. Sampurnanand Medical College and Mahatma Gandhi Hospital, Jodhpur, Rajasthan, India.
authors.forename: Amita Narendra
authors.initials: AN
authors.lastname: Bhargava
authors.affiliation: Department of Neurology, Dr. Sampurnanand Medical College and Mahatma Gandhi Hospital, Jodhpur, Rajasthan, India.
authors.forename: Bharat
authors.initials: B
authors.lastname: Bhushan
authors.affiliation: Department of Neurology, Dr. Sampurnanand Medical College and Mahatma Gandhi Hospital, Jodhpur, Rajasthan, India.
authors.forename: Subhakaran
authors.initials: S
authors.lastname: Khichar
authors.affiliation: Department of Medicine, Dr. Sampurnanand Medical College and Mahatma Gandhi Hospital, Jodhpur, Rajasthan, India.
authors.forename: Isha
authors.initials: I
authors.lastname: Sood
keywords: Acute permanent monocular vision loss; Taenea solium; cysticercosis; intraocular neurocysticercosis; neurocysticercosis; subretinal neurocysticercosis; sudden monocular vision loss