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.

Disseminated cysticercosis in China with complex and variable clinical manifestations: a case series

“…Disseminated cysticercosis (DCC) is an uncommon manifestation of the disease, in which the cysticerci spread to various tissues, organs or systems, such as the lesions in the CNS, eyes, muscles, and subcutaneous tissues at the same time. Although over 100 cases of DCC have been reported in the world, most of them originate from India and neighboring countries in South Asia [3–5].…”