Abstract
A 31-year-old Hispanic laborer sought medical attention for a four-day history of posterior headaches and double vision. The headache spontaneously resolved, but the patient continued to experience vertical diplopia. The neuro-ophthalmic exam revealed minimal anisocoria and subtle deficits of vertical motion of the left eye. MRI scanning demonstrated a lesion within the midbrain on the left side. Lumbar puncture revealed cells consisting primarily of lymphocytes and eosinophils. Both serum and cerebrospinal fluid revealed glycoproteins indicative of a cysticercosis infection. The patient was treated with Praziquantel and steroids with improvement of his oculomotor function.
Original language | English (US) |
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Pages (from-to) | 253-259 |
Number of pages | 7 |
Journal | Survey of Ophthalmology |
Volume | 39 |
Issue number | 3 |
DOIs | |
State | Published - 1994 |
Keywords
- cysticercosis
- eosinophilic meningitis
- glycoproteins
- headache
- midbrain lesion
- neurocysticercosis
- oculomotor nerve paresis
- praziquantel
- third nerve palsy
ASJC Scopus subject areas
- Ophthalmology