Mahalingam Sasikumar, R Gunaseelan, Karn Shivani, Dhar Shirshendu, Purushothaman Suruthi
Emergency Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.
Dermatology, Rangaraya Medical College, Kakinada, IND.
Cureus. 2021 Aug 8;13(8):e17013. doi: 10.7759/cureus.17013. eCollection 2021 Aug.
Soft-tissue swelling is common in clinical practice and few common causes are lipoma, sebaceous cyst, abscess, etc. Though rare, myocutaneous cysticercosis can also be a differential. Point-of-care ultrasound (POCUS) can help diagnose myocutaneous cysticercosis, which can predict neurocysticercosis among patients presenting with headaches and seizures. Myocutaneous cysticercosis is often seen as a cystic lesion with eccentric hyperechoic foci (scolex) in ultrasound. Here, we describe a case of multiple swellings in the neck and forearm associated with headache, which turned out to be myocutaneous cysticercosis and neurocysticercosis, diagnosed with the help of ultrasound.
软组织肿胀在临床实践中很常见，常见病因有脂肪瘤、皮脂腺囊肿、脓肿等。虽然罕见，但肌皮型囊尾蚴病也可能是鉴别诊断的对象。床旁超声（POCUS）有助于诊断肌皮型囊尾蚴病，在出现头痛和癫痫发作的患者中，它可以预测神经囊尾蚴病。在超声检查中，肌皮型囊尾蚴病常表现为带有偏心高回声灶（头节）的囊性病变。在此，我们描述一例伴有头痛的颈部和前臂多处肿胀病例，经超声检查确诊为肌皮型囊尾蚴病和神经囊尾蚴病。
