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) |
|---|---|
| Pages (from-to) | 253-259 |
| Number of pages | 7 |
| Journal | Survey of Ophthalmology |
| Volume | 39 |
| Issue number | 3 |
| DOIs | |
| State | Published - 1994 |
| Externally published | Yes |
Keywords
- cysticercosis
- eosinophilic meningitis
- glycoproteins
- headache
- midbrain lesion
- neurocysticercosis
- oculomotor nerve paresis
- praziquantel
- third nerve palsy
ASJC Scopus subject areas
- Ophthalmology