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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(01): 165-167
DOI: 10.4103/ajns.AJNS_280_19
Case Report

Surgical management of extraocular muscle cysticercosis causing optic foramen syndrome

Rajnish Patidar
Department of Neurosurgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan
,
Suryanarayanan Bhaskar
Department of Neurosurgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan
,
Jaskaran Gosal
Department of Neurosurgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan
,
Mayank Garg
Department of Neurosurgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan
,
Deepak Jha
Department of Neurosurgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan
,
Poonam Elhence
1   Department of Pathology, All India Institute of Medical Sciences, Jodhpur, Rajasthan
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Extraocular muscle cysticercosis usually presents with proptosis and restriction of eyeball movements. However, it can cause vision loss by compression of the optic nerve at the optic foramen in infrequent circumstances. We report a rare case with an unusual manifestation of ptosis, proptosis, lateral rectus palsy, and acute vision loss in the right eye. Magnetic resonance imaging was suggestive of cysticercal cyst. Emergency optic nerve decompression with cyst excision was done. Treatment of choice for extraocular muscle cysticercosis presenting with restriction of eyeball movements is mainly medical, consisting of albendazole and steroids. However, as this lesion rarely causes vision loss, indications of surgical decompression of optic nerve are not well defined. We recommend that early surgical management should be done along with medical treatment in cases of vision loss caused by extraocular muscle cysticercosis.

Key-words:

Extraocular muscle cysticercosis - optic nerve decompression - vision loss

Financial support and sponsorship

Nil.




Publication History

Received: 10 September 2019

Accepted: 25 October 2019

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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