DR. RAKHI P DCRUZ

Abstract

Cysticercosis is caused by Taenia solium.Human cysticercosis more commonly affects CNS.Orbital cysticercosis is a rare entity

Case-31 yr male presented with sudden onset headache,vertical diplopia&vomiting-15 days duration.He developed an episode of seizures followed by LOC for which he consulted nearby hospital.He was diagnosed-neurocysticercosis with multiple infarcts in thalami and midbrain supported by MRI. He was started on Albenadazole,systemic steroids&antiepileptics.His general condition improved but diplopia persisted.

O/E

10 PDXT with 14 PD LHoT-cover test

Dextroversion -N/L

On levoversion RE adduction-2 with LE ataxic nystagmus,Upgaze-limited BE

Pupil & Fundus OU WNL

BSCAN-showed evidence of cyst within SR muscle.

A provisional diagnosis of right INO with upgaze plasy due to dorsal midbrain syndrome and orbital cysticercosis affecting SR muscle was made.

Conclusion-In such rare cases,a high index of suspicion along with imaging helps us to establish an accurate diagnosis.