Neurocysticercosis presenting with oculomotor nerve palsy: Case report and literature review

Neurocysticercosis (NCC), a central nervous system infection caused by the cystic larvae of Taenia Solium, is endemic in many low-to-middle income countries. NCC is known to have a variety of presentations depending on the size and site of involvement including chronic headaches, seizures, hydroceph...

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Main Authors: Almurtada Razok, Maisa Ali, Abdullah Shams, Muhammad Zahid
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:IDCases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250923001129
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author Almurtada Razok
Maisa Ali
Abdullah Shams
Muhammad Zahid
author_facet Almurtada Razok
Maisa Ali
Abdullah Shams
Muhammad Zahid
author_sort Almurtada Razok
collection DOAJ
description Neurocysticercosis (NCC), a central nervous system infection caused by the cystic larvae of Taenia Solium, is endemic in many low-to-middle income countries. NCC is known to have a variety of presentations depending on the size and site of involvement including chronic headaches, seizures, hydrocephalus, and ischemic insults. NCC has also been rarely associated with cranial nerve palsies. We report the case of a 26-year-old Nepalese lady who presented with isolated left-sided oculomotor nerve palsy and was found to have midbrain NCC. She was treated with anthelminthic agents and corticosteroids which led to clinical improvement. NCC can present with a variety of focal neurological syndromes. To the best of our knowledge, this is the first case report of NCC presenting with third cranial nerve palsy in the state of Qatar and the middle east. We also review the literature for other cases of NCC which presented with isolated oculomotor nerve palsy.
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spelling doaj.art-f72af021167b43d3817c93546dce2eba2023-06-07T04:48:16ZengElsevierIDCases2214-25092023-01-0132e01788Neurocysticercosis presenting with oculomotor nerve palsy: Case report and literature reviewAlmurtada Razok0Maisa Ali1Abdullah Shams2Muhammad Zahid3Department of Internal Medicine, John H. Stroger Jr. Hospital of Cook County, Chicago, IL 60612, USADepartment of Infectious Diseases, Hamad Medical Corporation, Doha PO 3050, Qatar; Corresponding author.Department of Cardiology, Hamad Medical Corporation, Doha PO 3050, QatarDepartment of Internal Medicine, Hamad Medical Corporation, Doha PO 3050, QatarNeurocysticercosis (NCC), a central nervous system infection caused by the cystic larvae of Taenia Solium, is endemic in many low-to-middle income countries. NCC is known to have a variety of presentations depending on the size and site of involvement including chronic headaches, seizures, hydrocephalus, and ischemic insults. NCC has also been rarely associated with cranial nerve palsies. We report the case of a 26-year-old Nepalese lady who presented with isolated left-sided oculomotor nerve palsy and was found to have midbrain NCC. She was treated with anthelminthic agents and corticosteroids which led to clinical improvement. NCC can present with a variety of focal neurological syndromes. To the best of our knowledge, this is the first case report of NCC presenting with third cranial nerve palsy in the state of Qatar and the middle east. We also review the literature for other cases of NCC which presented with isolated oculomotor nerve palsy.http://www.sciencedirect.com/science/article/pii/S2214250923001129NeurocysticercosisTaenia soliumOculomotor nervePtosisQatar
spellingShingle Almurtada Razok
Maisa Ali
Abdullah Shams
Muhammad Zahid
Neurocysticercosis presenting with oculomotor nerve palsy: Case report and literature review
IDCases
Neurocysticercosis
Taenia solium
Oculomotor nerve
Ptosis
Qatar
title Neurocysticercosis presenting with oculomotor nerve palsy: Case report and literature review
title_full Neurocysticercosis presenting with oculomotor nerve palsy: Case report and literature review
title_fullStr Neurocysticercosis presenting with oculomotor nerve palsy: Case report and literature review
title_full_unstemmed Neurocysticercosis presenting with oculomotor nerve palsy: Case report and literature review
title_short Neurocysticercosis presenting with oculomotor nerve palsy: Case report and literature review
title_sort neurocysticercosis presenting with oculomotor nerve palsy case report and literature review
topic Neurocysticercosis
Taenia solium
Oculomotor nerve
Ptosis
Qatar
url http://www.sciencedirect.com/science/article/pii/S2214250923001129
work_keys_str_mv AT almurtadarazok neurocysticercosispresentingwithoculomotornervepalsycasereportandliteraturereview
AT maisaali neurocysticercosispresentingwithoculomotornervepalsycasereportandliteraturereview
AT abdullahshams neurocysticercosispresentingwithoculomotornervepalsycasereportandliteraturereview
AT muhammadzahid neurocysticercosispresentingwithoculomotornervepalsycasereportandliteraturereview