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Case Reports
. 2025 Apr 1;112(6):1229-1230.
doi: 10.4269/ajtmh.24-0307. Print 2025 Jun 4.

Cysticercosis of the Optic Nerve Sheath

Gautam Lokdarshi  1 , Navneet Chaturbedi  2 , Shwetam Kumar  3 , Subodh Kumar Singh  2
Affiliations
Case Reports

Cysticercosis of the Optic Nerve Sheath

Gautam Lokdarshi et al. Am J Trop Med Hyg. .

Abstract

A 30-year-old male presented with acute painful monocular diminution of vision, without any history of trauma or illness. Although the fundus image may resemble other retinal diseases, ophthalmic ultrasonography (US) was critical in detecting the problem. In the US, several scolexes were seen, indicating cysticerci, which are the larval stage of Tenia worm, infecting the optic nerve sheath at its scleral insertion. Only oral steroids were used because the inflammatory and toxic effects of albendazole-induced scolex-lysis on optic nerve function were uncertain. The authors reported no deterioration or recurrence on tapering doses of steroids.

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Conflict of interest statement

Disclosures: Informed consent was taken from the patient for publishing the clinical photograph and the clinical data. All authors state no conflicts of interest.

Authors’ contributions: G. Lokdarshi, N. Chaturbedi, S. Kumar, and S. K. Singh prepared and edited manuscript; G. Lokdarshi performed literature search; and all authors reviewed or approved manuscript.

References

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