Gurha N, Sood A, Dhar J, Gupta S
Department of Ophthalmology, Batra Hospital and Medical Research Centre, New Delhi, India.
Acta Ophthalmol Scand. 1999 Feb;77(1):107-9. doi: 10.1034/j.1600-0420.1999.770124.x.
The authors present a first case of cysticercosis in the optic canal in a fifteen-year-old female patient. Cysticercosis of the optic nerve is rare. A cyst in the optic canal, beneath the sheath of the optic nerve, has never been reported. The patient presented with rapidly diminishing vision in the left eye, headache and papillitis. A magnetic resonance imaging revealed a cystic lesion at the entrance of the optic canal. Surgery performed was a transcranial orbitotomy which included deroofing of the optic canal and removal of the cyst from under the sheath of the optic nerve. The cyst proved to be cysticercus histopathologically. The outcome was a remarkable visual recovery.
作者报告了一例15岁女性患者视神经管囊尾蚴病的首例病例。视神经囊尾蚴病较为罕见。视神经管内、视神经鞘膜下方的囊肿此前从未有过报道。该患者表现为左眼视力迅速下降、头痛及视乳头炎。磁共振成像显示视神经管入口处有一个囊性病变。所施行的手术为经颅眶切开术，包括去除视神经管顶壁并从视神经鞘膜下取出囊肿。病理组织学检查证实该囊肿为囊尾蚴。结果是视力显著恢复。
