title: Minimally invasive bone-saving orbitotomy for removal of optic nerve cysticercosis.
abstract: A 32-year-old man previously being managed for multiple neurocysticercosis presented with a reduction in vision and pain on eye movement. Fundus examination revealed disc edema with venous dilatation. MRI showed a localized hypointensity on T1 weighted images and hyperintensity on T2 weighted images suggestive of a cyst in the optic nerve sheath. Medical therapy with albendazole and steroids did not improve vision. Surgical removal of the cyst was achieved by a modified lateral orbital exploration using a lateral canthal incision without bone removal, with full recovery of vision. Histopathological examination confirmed cysticercosis.
authors.affiliation: St. Stephens Hospital , Tis Hazari, Delhi , India.
authors.forename: Krishna
authors.initials: K
authors.lastname: Vaitheeswaran
authors.forename: Preetinder
authors.initials: P
authors.lastname: Kaur
authors.forename: Shalini
authors.initials: S
authors.lastname: Garg
mesh_terms: D000328:Adult; D003551:Cysticercosis / Q000175:diagnosis / Q000601:surgery*; D015822:Eye Infections, Parasitic / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D013508:Ophthalmologic Surgical Procedures; D009901:Optic Nerve Diseases / Q000175:diagnosis / Q000601:surgery*; D009915:Orbit / Q000601:surgery*; D014792:Visual Acuity; D058609:Visual Field Tests; D014794:Visual Fields
keywords: Bone-saving orbitomoty; neurocysticercosis; optic nerve cysticercosis; orbitotomy