Medial Rectus Cysticercosis

C. Sharma, B. Kumawat, G. Tripathi, A. Kankane, S. Dixit
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Abstract

A 18-year male was presented with diplopia on looking toward the left since five days. There was no headache, vomiting, drooping of eyelid, visual impairment, and pain around the eye, diurnal variation or weakness of limbs. Examination revealed no ptosis, nystagmus; pupils were bilaterally symmetrical in size & reactive to light. Fundus examination was normal. Extra ocular movements on both sides were normal except restriction of adduction of right eye. The rest of the neurological examination was normal. The investigations revealed normal routine hemogram including erythrocyte sedimentation rate and biochemistry. Enzyme-linked immunosorbent assay (ELISA) for cysticercus was positive both in cerebrospinal fluid examination (CSF) and serum. The other parameters of CSF were normal. Computerized tomogram of orbit revealed swollen medial rectus with ring lesion. Patient received albendazole therapy (15mg/kg for 4 weeks) under cover of steroids and started showing improvement in diplopia within a week. Figure 1 Figure: CT scan of orbit showing cysticercal cyst in medial rectus, which resolved after treatment.
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内侧直肠囊尾蚴病
一名18岁男性,5天以来双眼向左看,出现复视。无头痛、呕吐、眼睑下垂、视力障碍、眼周疼痛、昼夜变化或四肢无力。检查未见上睑下垂、眼球震颤;瞳孔大小两侧对称,对光有反应。眼底检查正常。除右眼内收受限外,双侧眼外运动正常。其余的神经系统检查正常。检查显示血象正常,包括血沉和生化。脑脊液和血清中囊尾蚴酶联免疫吸附试验(ELISA)均呈阳性。脑脊液其他参数均正常。眼眶电脑断层显示内侧直肌肿胀伴环状病变。患者在类固醇的掩护下接受阿苯达唑治疗(15mg/kg, 4周),复视在一周内开始改善。图1图:眼眶CT扫描显示内侧直肌囊性囊肿,治疗后消失。
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