Sundar Uma, Chawla Varun, Lakkas Yogesh, Shrivastava Makardhwaj, Asole Dnyaneswar, Vaidy Meghana
Internal Medicine and Neurology Services, Lokmanya Tilak Municipal General Hospital and Medical College, Mumbai, India.
J Assoc Physicians India. 2010 Sep;58:570-2.
Neurocysticercosis is endemic in India, cerebral and ocular manifestations being common. A 32 yr old man on treatment with Albendazole for cerebral neurocysticercosis for 10 days presented with 3 days of painful uniocular blindness. He had only light perception in the left eye, left pupil was non-reactive to light and left disc was edematous. B-scan of eye revealed retinal detachment due to sub retinal cyst and CT brain showed multiple parenchymal cysticerci. The natural history of ocular neurocysticercosis or enhanced sub-retinal inflammation due to Albendazole therapy could have resulted in the retinal detachment in this case.
神经囊尾蚴病在印度为地方性疾病，常见脑和眼部表现。一名32岁男性因脑型神经囊尾蚴病接受阿苯达唑治疗10天，出现单眼疼痛性失明3天。他左眼仅有光感，左侧瞳孔对光无反应，左侧视盘水肿。眼部B超显示视网膜下囊肿导致视网膜脱离，脑部CT显示多个实质内囊尾蚴。在这种情况下，眼部神经囊尾蚴病的自然病程或阿苯达唑治疗导致的视网膜下炎症加重可能导致了视网膜脱离。
