Isolated brachioradialis symptomatic cysticercosis in a young female: A rare entity surgically managed

Abstract

Taenia solium is a parasite and is endemic in the developing countries due to various unhygienic faecal practices. The disseminated form is commoner with the brain being the most common site of affliction. This report is of a young female patient with complaints of an insidious and progressive swelling of the right forearm. Clinicoradiological features were suggestive of an isolated myocysticercosis which was symptomatic with restricted pronation and supination. The symptoms persisted post a course of Albendazole, and the cyst had to be excised as it was impinging on the median and radial nerves. The patient has been asymptomatic after a 3-month post-operative period with no signs or imaging evidence of residual disease. The presence of isolated intramuscular cysticercosis is an extremely rare and a high index of suspicion is needed for early diagnosis. Although medical management is extremely effective, surgical excision may be required in certain cases.