IMPORTANCE OF NEUROIMAGING TECHNIQUES IN DIAGNOSING A CASE OF PTOSIS (ORBITAL CYSTICERCOSIS) : A CASE REPORT

Dr.miral Prajapati, Dr.ashwini Surti, Dr.arpan Chawala

Abstract


Cysticercosis is a parasitic infestation caused by the larval form of the tapeworm, Taenia solium (T. solium). The common sites for cysticerosis
include the brain, eyes, and skeletal muscle. Ocular or adnexal involvement is commonly seen with the commonest ophthalmic site being
subretinal space and the vitreous cavity.
Ÿ However, only a handful of cases of orbital cysticercosis have been reported in the past. We report a rare and unusual case of isolated eyelid
cysticercosis in a 12year old female masquerading as an asymptomatic slowly growing subcutaneous painless mass menifested as a ptosis.
Ÿ Clinical, serological, and radiological examinations are needed to diagnose
Ÿ As MRI brain and USG findings were suggestive of cysticercosis,patient was started oral steroids and oral albendazole
Ÿ Four weeks of oral albendazole (15 mg/kg) and oral steroids (1.5 mg/kg) in a tapered dose are the recommended treatment for both NCC and
orbital cysticercosis
Ÿ Without evidence of an eosinophilia and stool ova and cysts and without a positive ELISA-test for cysticercosis the pathognomonic appearance
of the thickened muscle, the cyst and the scolex inside should lead to the diagnosis cysticercosis
Ÿ Prognosis is best for patients who seek treatment early and whose imaging studies normalize after initial infection.
Aim: To study importance of neuroimaging techniques in diagnosing rare causes of ptosis.


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References


DeGiorgio CM, Medina MT, Durón R, Zee C, Escueta SP. Neurocysticercosis. Epilepsy Curr. 2004;4(3):107–111. doi:10.1111/j.1535-7597.2004.43008.x

↑ Jump up to: 3.00 3.01 3.02 3.03 3.04 3.05 3.06 3.07 3.08 3.09 3.10 3.11 3.12 3 Dhiman R, Devi S, Duraipandi K, et al. Cysticercosis of the eye. Int J Ophthalmol. 2017;10(8):1319–1324. Published 2017 Aug 18. doi:10.18240/ijo.2017.08.21

↑ Jump up to: 4.0 4.1 Sekhar GC, Lemke BN. Orbital cysticercosis. Ophthalmology. 1997;104:1599–1602.

Jump up ↑ Malik SR, Gupta AK, Choudhry S. Ocular cysticercosis. Am J Ophthalmol. 1968;66(6):1168–1171.

Jump up ↑ Reddy PS, Satyendran OM. Ocular cysticercosis. Am J Ophthalmol. 1964;57:664–666.

Jump up ↑ Kruger-Leite E, Jalkh AE, Quiroz H, Schepens CL. Intraocular cysticercosis. Am J Ophthalmol. 1985;99(3):252–257.

Jump up ↑ Rath S, Honavar SG, Naik M, Anand R, Agarwal B, Krishnaiah S, Sekhar GC. Orbital cysticercosis: clinical manifestations, diagnosis, management, and outcome. Ophthalmology. 2010;117(3):600–605.

Jump up ↑ Gemolotto G. A contribution to surgical treatment of intraocular cysticercosis. Arch Ophthalmol. 1955;59:365–368.

↑ Jump up to: 10.0 10.1 Goyal JL, Das S, Kumar S, Chauhan D, Baheti U, Sangit V. Retrobulbar cysticercosis masquerading as optic nerve glioma. Orbit. 2007;26(1):61–63.

↑ Jump up to: 11.0 11.1 11.2 Pushker N, Bajaj MS, Betharia SM. Orbital and adnexal cysticercosis. Clin Exp Ophthalmol. 2002;30(5):322–333.

Jump up ↑ World Health Organization Control of neurocysticercosis, Report by Secretariat, 55th World Health Assembly Provisional agenda item 13.18 A55/23, 5 April 2002.

Jump up ↑ Ong S, Talan D, Moran G, Mower W, Newdow M, Tsang VCT, Pinner RW. the Emergencyt IDNET Study Group. Neurocysticercosis in radiographically imaged seizure patients in U.S. emergency departments. Emerg Infect Dis. 2002;8:608–613.

Jump up ↑ Auzemery, A., Andriantsimahavandy, A., Esterre, P., Bouat, C., Boitte, J.P. and Huguet, P. Ocular cysticercosis. Medecine tropicale: revue du Corps de sante colonial.1995;55 (4 Pt 2):429-433.

Jump up ↑ Chandra A, Singh MK, Singh VP, et al. A live cysticercosis in anterior chamber leading to glaucoma secondary to pupilary block. J Glaucoma. 2007 Mar. 16(2):271-3.

↑ Jump up to: 16.0 16.1 Deschenes J. Ocular Cysticercosis. Medscape. 2019.

↑ Jump up to: 17.0 17.1 17.2 17.3 Zafar, MJ. Neurocysticercosis: Clinical Presentation. Medscape. 2019

Jump up ↑ Murthy GR, Rao AV. Sub-conjunctival cysticercosis. Indian J Ophthalmol. 1980;28(2):77–78.

Jump up ↑ Wadhwa V, Kharbanda P, Rai S. How reliable are serological tests in diagnosis of cysticercosis? Indian J Med Microbiol. 2006;24(1):78–79.

Jump up ↑ Honavar SG, Sekhar CG. Ultrasonological characteristics of extraocular cysticercosis. Orbit. 1998;17(4):271–284.

Jump up ↑ Proano JV, Madrazo I, Avelar F, Lopez-Felix B, Diaz G, Grijalva I. Medical treatment for neurocysticercosis characterized by giant subarachnoid cysts. N Engl J Med. 2001 Sep 20. 345(12):879-85.

Jump up ↑ Beri S, Vajpayee RB, Dhingra N, Ghose S. Managing anterior chamber cysticercosis by viscoexpression: a new surgical technique. Arch Ophthalmol. 1994;112(10):1279–1280.

Jump up ↑ Rangel-Castilla L, Serpa JA, Gopinath SP, Graviss EA, Diaz-Marchan P, White AC Jr. Contemporary neurosurgical approaches to neurocysticercosis. Am J Trop Med Hyg. 2009 Mar. 80(3):373-8.

Jump up ↑ Carpio A, Hauser A. Prognosis for seizure recurrence in patients with newly diagnosed neurocysticercosis. Neurology. 2002;59:1730–1734.

https://www.djo.org.in/articles/23/2/orbital-cysticercosis.html

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5554854/

https://onlinelibrary.wiley.com/doi/full/10.1034/j.1600-0420.2001.079004408.x

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