Anand Atul, Sinha Vineet
Otolaryngology - Head and Neck Surgery, Patna Medical College, Patna, Bihar India.
Head and Neck Oncology, Mahavir Cancer Sansthan & Research Centre, Patna, Bihar India.
Indian J Otolaryngol Head Neck Surg. 2025 Feb;77(2):1103-1108. doi: 10.1007/s12070-024-05278-3. Epub 2024 Dec 23.
Head and neck swellings encompass a broad range of differential diagnoses, often necessitating comprehensive clinical and diagnostic evaluations to reach an accurate diagnosis. Cysticercosis, a parasitic infection caused by the larval form of Taenia solium, typically affects neural and extraneural regions. Although neural manifestations are well-documented, extraneural cysticercosis in the head and neck is rare and can mimic neoplastic and inflammatory conditions, posing diagnostic challenges. This study presents a series of cases of atypical head and neck cysticercosis, including unique presentations in regions like the parotid gland, tongue, and neck muscles, which were initially mistaken for other common pathologies. Through a detailed analysis of imaging findings and histopathological examinations, this article highlights diagnostic pitfalls and emphasizes the importance of considering cysticercosis in differential diagnoses, especially in endemic regions. This case series, supported by a systematic review of literature, underscores the need for heightened clinical awareness to prevent misdiagnosis and ensure timely management of this rare but significant condition.
头颈部肿胀包含广泛的鉴别诊断，通常需要进行全面的临床和诊断评估才能得出准确诊断。囊尾蚴病是由猪带绦虫幼虫引起的寄生虫感染，通常影响神经和神经外区域。虽然神经表现已有充分记录，但头颈部的神经外囊尾蚴病很少见，可模仿肿瘤和炎症性疾病，带来诊断挑战。本研究展示了一系列非典型头颈部囊尾蚴病病例，包括在腮腺、舌和颈部肌肉等区域的独特表现，这些最初被误诊为其他常见病理情况。通过对影像学表现和组织病理学检查的详细分析，本文强调了诊断陷阱，并强调在鉴别诊断中考虑囊尾蚴病的重要性，尤其是在流行地区。这个病例系列得到了文献系统综述的支持，强调需要提高临床意识，以防止误诊并确保对这种罕见但重要的疾病进行及时管理。
