Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Rashmin Gandhi
India
Case Report
Neurocysticercosis Presenting as Bipolar Disorder and Chronic Papilledema: A Rare Case Report and Review
Author(s): Mona Sune, Pradeep Sune, Mala Kamble, Pravin Tidake, Rashmin Gandhi, Prem Subramanian and Rakesh JunejaMona Sune, Pradeep Sune, Mala Kamble, Pravin Tidake, Rashmin Gandhi, Prem Subramanian and Rakesh Juneja
A 40 year old female presented with mania, abnormal behaviour, headache & gradual progressive diminution of vision & history of pork consumption. Anterior segment examination OU was normal. Fundus of both eyes showed B/L established papilledema. Visual Acuity was 20/125 both eyes. CT & MRI with contrast revealed multiple well defined rounded CSF density cysts with a central mural nodule representing a scolex showing ring enhancement and perilesional edema. The largest lesion was 7.7×9 mm and multiple lesions were noted in both cerebral hemisphere and internal capsular regions, right cerebellar hemisphere and pons suggestive of disseminated neurocysticercosis. B-scan revealed disc edema and increased optic nerve diameter by more than 5 mm in both eyes confirming papilledema. She was prescribed albendazole, praziquantel, steroids, mannitol, acetazolamide and lithium. Wi.. View More»
DOI:
10.4172/2155-9570.1000349