Pandey P K, Chaudhuri Z, Sharma P, Bhomaj S
Department of Ophthalmology, Guru Nanak Eye Centre, New Delhi, India.
J Pediatr Ophthalmol Strabismus. 2000 Sep-Oct;37(5):273-8.
To highlight the different presentations of extraocular muscle cysticercosis, which can result in acquired ocular motility disorders.
Ten cases of acquired motility disorders examined between January 1998 and January 1999 were diagnosed as extraocular muscle cysticercosis with computed tomography (CT). All patients were treated with corticosteroid therapy and albendazole. Repeat CT scans were performed in 5 patients.
The inferior rectus muscle was most commonly affected with double elevator palsy the most common clinical presentation. Response to treatment was satisfactory with complete resolution of the ocular motility disorder in 8 patients. Initiating therapy with corticosteroids prior to the addition of cysticidal drugs prevented severe inflammatory reactions and residual strabismus.
A high index of suspicion should be entertained for extraocular muscle cysticercosis in every case of recent acquired ocular motility disorder. Response to medical therapy is satisfactory.
强调眼外肌囊尾蚴病的不同表现，其可导致获得性眼球运动障碍。
1998年1月至1999年1月间检查的10例获得性眼球运动障碍患者经计算机断层扫描（CT）诊断为眼外肌囊尾蚴病。所有患者均接受皮质类固醇治疗和阿苯达唑治疗。5例患者进行了重复CT扫描。
下直肌最常受累，最常见的临床表现为双眼上转肌麻痹。治疗反应令人满意，8例患者的眼球运动障碍完全消退。在添加杀囊药物之前先用皮质类固醇治疗可预防严重的炎症反应和残留斜视。
对于每一例近期获得性眼球运动障碍患者，都应高度怀疑眼外肌囊尾蚴病。药物治疗反应令人满意。
