Extraocular Muscle Cysticercosis: Clinical Features and Management Outcome

Abstract

Combination therapy with oral albendazole and steroids is effective in the management of viable extraocular muscle cysticercosis. However, residual motility restriction may persist despite treatment.

Neurocysticercosis in Children Presenting With Afebrile Seizure: Clinical Profile, Imaging and Serodiagnosis

“…There is insufficient information about NCC in children from Andhra Pradesh State in India. However, there are a couple of reports of T. solium cysticercosis in this state since a lot of adult cases of NCC as well as eye cases were reported earlier 13 , 18 , 19 that indicate a possible prevalence of cysticercosis in children in the same region of this country. With this background, the objective of the present study was set to screen for anti-Cysticercus antibodies in serum to estimate the NCC prevalence as an underlying etiology of afebrile seizure in children by ELISA.…”

Subconjunctival and Orbital (Twin) Cysticercosis in a Child

“…The larvae spread to ophthalmic tissues via the hematogenous route, and the involvement of extraocular muscles is known as orbital myocysticercosis. [1] In adults, the orbital myocysticercosis may have an acute presentation akin to idiopathic orbital inflammatory disease (IOID), while in the younger age, it may present as an anteriorly prolapsed subconjunctival cyst. [1,2,3] In the latter scenario, there can be another “twin-cyst” or a continuation of posterior cyst in the associated rectus belly.…”

“…[1] In adults, the orbital myocysticercosis may have an acute presentation akin to idiopathic orbital inflammatory disease (IOID), while in the younger age, it may present as an anteriorly prolapsed subconjunctival cyst. [1,2,3] In the latter scenario, there can be another “twin-cyst” or a continuation of posterior cyst in the associated rectus belly. [4] Orbital imaging (ultrasonography, CT, or MRI) may reveal the internal contents, extent, and association of cystic lesion inside the extraocular muscles or orbit.…”

“…The extraocular muscles have a rich vascular supply favoring the lodgment of cysticercosis larvae. [1,2,3][4] Traditionally, medical management is the first line of treatment for orbital myocysticercosis, but an anterior subconjunctival cyst, amenable to surgical excision, can be removed, preventing spontaneous inflammatory rupture of the cyst. Acute painful orbital conditions should be included in the differential diagnosis of the orbital myocysticercosis.…”

Ocular cysticercosis causing isolated ptosis: A rare presentation

“…ocular motility in 75% of the patients, while ptosis was present in only 28.1% of the patients. [4] Cysticercosis causing ptosis has been reported in literature. There are reports of midbrain neurocysticercosis causing sudden onset ptosis.…”