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Monocular blindness during therapy for cerebral neurocysticercosis
Uma Sundar1, Varun Chawla, Yogesh Lakkas
1Internal Medicine and Neurology Services, Lokmanya Tilak Municipal General Hospital and Medical College, Mumbai, India.
Abstract:
Neurocysticercosis is endemic in India, cerebral and ocular manifestations being common. A 32 yr old man on treatment with Albendazole for cerebral neurocysticercosis for 10 days presented with 3 days of painful uniocular blindness. He had only light perception in the left eye, left pupil was non-reactive to light and left disc was edematous. B-scan of eye revealed retinal detachment due to sub retinal cyst and CT brain showed multiple parenchymal cysticerci. The natural history of ocular neurocysticercosis or enhanced sub-retinal inflammation due to Albendazole therapy could have resulted in the retinal detachment in this case.
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