Secondary optic atrophy in a patient with miliary neurocysticercosis

摘要

A 35-year-old female presented with complaints of gradual onset diminution of vision in both eyes accompanied by severe headache. On examination, she had visual acuity of no light perception in both eyes. The pupils were non-reactive and fundus examination revealed bilateral dirty grey optic discs with blurred margins suggestive of secondary optic atrophy (Figs la and b). Magnetic resonance imaging (MRI) revealed the presence of multiple ring-enhancing lesions in the brain parenchyma along with perilesional oedema (Figs lc-e). A diagnosis of neurocysticercosis was made, and the patient was started on antihelminthics under the cover of steroids and antiepileptics. One month later the patient was relieved of headache and seizure, but no visual improvement was noted.