Medical management of orbital myocysticercosis: a pilot study

Abstract

Oral albendazole appears to be highly efficacious in the management of orbital myocysticercosis.

Extraocular Muscle Cysticercosis: Clinical Features and Management Outcome

“…Infestation with cysticercosis is less common after the age of 40 years (Pushker et al, 2002). There does not appear to be any definite sex predilection, though some studies report slightly higher prevalence in males (Mohan et al, 2005;Puri & Grover, 1998;Sundaram et al, 2004). We noted a slight male preponderance (59.4%) in our series.…”

“…Most reports have used oral albendazole in a dose of 15 mg/kg/day in two divided doses and oral prednisolone 1.5-2 mg/kg/day with successful results for 4 weeks (Pushker et al, 2002;Sekhar & Lemke, 1997). Puri and Grover (1998) used a dose of 30 mg/kg/day of oral albendazole and 5-10 mg/day of oral steroids with favorable results. In our series, we successfully used oral albendazole in a dose of 15 mg/kg/day in two divided doses and oral prednisolone at a dose of 1 mg/kg/day as a single dose.…”

“…In our series, the most commonly involved muscles were the lateral rectus and medial rectus. In other series, the most commonly involved muscle has been medial rectus (Puri & Grover, 1998;Sihota & Honavar, 1994), superior rectus (Honavar & Chandrasekhar, 1998;Mohan et al, 2005), lateral rectus (Sundaram et al, 2004), and inferior rectus (Chandrasekhar & Honavar, 1999;Pandey et al, 2000). Inferior oblique involvement has been reported to be rare, with no involvement in most series (Mohan et al, 2005;Pandey et al, 2000;Puri & Grover, 1998;Sihota & Honavar, 2004).…”

Simultaneous Intraocular and Bilateral Extraocular Muscle Involvement in a Case of Disseminated Cysticercosis

“…Orbital manifestations are ocular motility disorder, proptosis, conjunctival cyst and acquired blepharoptosis [1]. The inferior rectus [2] and the medial rectus [4] are the most common extraocular muscles involved. It is unusual that a case having bilateral involvement of both these muscles be clinically silent.…”

Orbital Cysticercosis

“…36 The local adverse effects of the release of toxins following the death of the larva have been reported. 25,37 Optic neuritis has been reported following oral albendazole administration in a patient with orbital cysticercosis. 38 Praziquantel is an antihelminthic drug, active against the adult as well as juvenile and larval stages of the tapeworm.…”