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Optic nerve cysticercosis: case report and review of current management.

Abstract
The authors present a case of optic nerve cysticercosis in a 32-year-old patient who presented with sudden blurring of vision in the left eye and a transient visual improvement on systemic steroids. The ocular findings were unremarkable other than a relative afferent pupillary defect (RAPD). An ultrasound of the orbit, CT and MRI scans revealed a cystic lesion in the orbital portion of the optic nerve close to the eyeball. A presumed diagnosis of optic nerve cysticercosis was made on the basis of imaging and a positive serum ELISA. The patient improved dramatically on a 4-week therapeutic trial of albendazole and oral steroids. The post-treatment ultrasound and CT scan showed an involution of the cyst with some residual thickening of the optic nerve.
AuthorsRajeev Sudan, R Muralidhar, Pradeep Sharma
JournalOrbit (Amsterdam, Netherlands) (Orbit) Vol. 24 Issue 2 Pg. 159-62 (Jun 2005) ISSN: 0167-6830 [Print] England
PMID16191809 (Publication Type: Case Reports, Journal Article, Review)
Chemical References
  • Anti-Inflammatory Agents
  • Anticestodal Agents
  • Prednisolone
  • Albendazole
Topics
  • Adult
  • Albendazole (therapeutic use)
  • Anti-Inflammatory Agents (therapeutic use)
  • Anticestodal Agents (therapeutic use)
  • Cysticercosis (diagnostic imaging, drug therapy)
  • Female
  • Humans
  • Optic Nerve Diseases (diagnostic imaging, drug therapy)
  • Prednisolone (therapeutic use)
  • Tomography, X-Ray Computed
  • Treatment Outcome

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