Jethani Jitendra, Vijayalakshmi P, Kumar Mahesh
Department of Paediatric Opthalmology and Strabismus, Aravind Eye Hospital, Tamilnadu, India.
J AAPOS. 2007 Oct;11(5):495-6. doi: 10.1016/j.jaapos.2007.04.013. Epub 2007 Jul 19.
Cysticercosis is an infestation by Cysticercus cellulosae, the larval form of the cestode Taenia solium. C. cellulosae is preferentially encysted in the brain, striated muscles, and subcutaneous tissue. Seizures, hydrocephalus, meningitis, and focal symptoms caused by large cysts are the principal manifestations. Neuroophthalmologic signs are common with the meningitic and hydrocephalic manifestations of the disease. The first ophthalmologic clues of cysticercosis are typically papilloedema, pupillary abnormalities, or nystagmus. We report an atypical presentation of neurocysticercosis in two patients, with chief complaints of vertical diplopia and nystagmus.
囊尾蚴病是由猪带绦虫的幼虫形式——猪囊尾蚴引起的一种寄生虫感染。猪囊尾蚴优先寄生于脑、横纹肌和皮下组织。由大囊肿引起的癫痫发作、脑积水、脑膜炎和局灶性症状是主要表现。神经眼科体征在该疾病的脑膜炎和脑积水表现中很常见。囊尾蚴病的最初眼科线索通常是视乳头水肿、瞳孔异常或眼球震颤。我们报告了两名患者神经囊尾蚴病的非典型表现,主要症状为垂直性复视和眼球震颤。