Magnetic resonance imaging in the diagnosis of subretinal cysticercosis

Gary W. Chung, Wico W. Lai, Keith R. Thulborn, Carol Menner, Norman P. Blair, Jose S Pulido

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

PURPOSE: To report a case of ocular cysticercosis and associated magnetic resonance imaging (MRI) findings. DESIGN: Interventional case report. METHODS: A 56-year-old woman from Ecuador presented with decreased vision and an exudative retinal detachment in the left eye. Subretinal cysticercosis was suspected. RESULTS: In the left eye, a subretinal cyst evident on fundus examination was investigated with B-scan ultrasonography. Ultrasonography showed a cystic structure, and MRI of the orbit confirmed the suspicion for cysticercosis. Magnetic resonance imaging of the brain also revealed a small parenchymal lesion in the left occipital lobe of the brain. CONCLUSIONS: Magnetic resonance imaging is a useful adjunct to B-scan ultrasonography in the diagnosis of ocular cysticercosis. Magnetic resonance imaging is superior to computed tomography in the demonstration of cystic structures in the eye and central nervous system. This finding has important therapeutic implications, as any viable cysticercus in the eye or cerebral parenchyma can be treated surgically or medically, respectively.

Original languageEnglish (US)
Pages (from-to)931-932
Number of pages2
JournalAmerican Journal of Ophthalmology
Volume134
Issue number6
DOIs
StatePublished - Dec 1 2002
Externally publishedYes

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Cysticercosis
Magnetic Resonance Imaging
Ultrasonography
Cysticercus
Ecuador
Occipital Lobe
Brain
Orbit
Retinal Detachment
Cysts
Central Nervous System
Tomography

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Magnetic resonance imaging in the diagnosis of subretinal cysticercosis. / Chung, Gary W.; Lai, Wico W.; Thulborn, Keith R.; Menner, Carol; Blair, Norman P.; Pulido, Jose S.

In: American Journal of Ophthalmology, Vol. 134, No. 6, 01.12.2002, p. 931-932.

Research output: Contribution to journalArticle

Chung, Gary W. ; Lai, Wico W. ; Thulborn, Keith R. ; Menner, Carol ; Blair, Norman P. ; Pulido, Jose S. / Magnetic resonance imaging in the diagnosis of subretinal cysticercosis. In: American Journal of Ophthalmology. 2002 ; Vol. 134, No. 6. pp. 931-932.
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AU - Pulido, Jose S

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N2 - PURPOSE: To report a case of ocular cysticercosis and associated magnetic resonance imaging (MRI) findings. DESIGN: Interventional case report. METHODS: A 56-year-old woman from Ecuador presented with decreased vision and an exudative retinal detachment in the left eye. Subretinal cysticercosis was suspected. RESULTS: In the left eye, a subretinal cyst evident on fundus examination was investigated with B-scan ultrasonography. Ultrasonography showed a cystic structure, and MRI of the orbit confirmed the suspicion for cysticercosis. Magnetic resonance imaging of the brain also revealed a small parenchymal lesion in the left occipital lobe of the brain. CONCLUSIONS: Magnetic resonance imaging is a useful adjunct to B-scan ultrasonography in the diagnosis of ocular cysticercosis. Magnetic resonance imaging is superior to computed tomography in the demonstration of cystic structures in the eye and central nervous system. This finding has important therapeutic implications, as any viable cysticercus in the eye or cerebral parenchyma can be treated surgically or medically, respectively.

AB - PURPOSE: To report a case of ocular cysticercosis and associated magnetic resonance imaging (MRI) findings. DESIGN: Interventional case report. METHODS: A 56-year-old woman from Ecuador presented with decreased vision and an exudative retinal detachment in the left eye. Subretinal cysticercosis was suspected. RESULTS: In the left eye, a subretinal cyst evident on fundus examination was investigated with B-scan ultrasonography. Ultrasonography showed a cystic structure, and MRI of the orbit confirmed the suspicion for cysticercosis. Magnetic resonance imaging of the brain also revealed a small parenchymal lesion in the left occipital lobe of the brain. CONCLUSIONS: Magnetic resonance imaging is a useful adjunct to B-scan ultrasonography in the diagnosis of ocular cysticercosis. Magnetic resonance imaging is superior to computed tomography in the demonstration of cystic structures in the eye and central nervous system. This finding has important therapeutic implications, as any viable cysticercus in the eye or cerebral parenchyma can be treated surgically or medically, respectively.

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