Kasundra Gaurav M, Bhargava Amita Narendra, Bhushan Bharat, Khichar Subhakaran, Sood Isha
Department of Neurology, Dr. Sampurnanand Medical College and Mahatma Gandhi Hospital, Jodhpur, Rajasthan, India.
Department of Medicine, Dr. Sampurnanand Medical College and Mahatma Gandhi Hospital, Jodhpur, Rajasthan, India.
J Neurosci Rural Pract. 2014 Nov;5(Suppl 1):S89-92. doi: 10.4103/0976-3147.145224.
Neurocysticercosis, the most common parasitic infection of the nervous system, is known to affect the brain, eyes, muscular tissues and subcutaneous tissues. However, it is very rare for patients with ocular cysts to have concomitant cerebral cysts. Also, the dominant clinical manifestation of patients with cerebral cysts is either seizures or headache. We report a patient who presented with acute monocular painless vision loss due to intraocular submacular cysticercosis, who on investigation had multiple cerebral parenchymal cysticercal cysts, but never had any seizures. Although such a vision loss after initiation of antiparasitic treatment has been mentioned previously, acute monocular vision loss as the presenting feature of ocular cysticercosis is rare. We present a brief review of literature along with this case report.
神经囊尾蚴病是最常见的神经系统寄生虫感染，已知可累及脑、眼、肌肉组织和皮下组织。然而，眼部囊肿患者合并脑囊肿的情况非常罕见。此外，脑囊肿患者的主要临床表现为癫痫发作或头痛。我们报告一例因眼内黄斑下囊尾蚴病出现急性单眼无痛性视力丧失的患者，该患者经检查发现有多个脑实质囊尾蚴囊肿，但从未有过癫痫发作。虽然之前曾提到过抗寄生虫治疗开始后出现这种视力丧失的情况，但以急性单眼视力丧失作为眼部囊尾蚴病的首发特征较为罕见。我们结合本病例报告对文献进行简要综述。
