Chief & Presenting Author: Dr.Rakhi P Dcruz

Abstract

31yrs old male who presented with sudden onset headache and vomiting of 15 days duration.He developed an episode of seizures followed by LOC for which he consulted nearby hospital and was treated there. Later he noticed vertical diplopia for which he consulted us.Ocular examination revealed 10 PDXT with 14 PD LHoT;Dextroversion was Normal On levoversion. RE adduction -2 with LE ataxic nystagmus.Upgaze was limited in BE, F-WNL
BSCAN-showed evidence of cyst within SR muscle. We advised for an MRI- multiple cysts within the brain parenchyma.A provisional diagnosis of right INO with upgaze plasy due to dorsal midbrain syndrome associated with neurocysticercosis and orbital cysticercosis affecting SR muscle was made. He was started on Albenadazole,systemic steroids&antiepileptics. His general condition improved but diplopia persistedThe patient was asked to continue the medications and review in two weeks. On follow up his symptoms subsided and diplopia improved