Neurocysticercosis presenting as a vertical one-and-a-half syndrome with associated contralesional horizontal gaze paresis

J Neurol Sci. 2012 Dec 15;323(1-2):250-3. doi: 10.1016/j.jns.2012.08.022. Epub 2012 Sep 13.

Abstract

We describe a patient presenting with vertical one-and-a-half syndrome and concomitant contralesional horizontal gaze paresis as the result of a solitary neurocysticercosis (NCC) lesion in the right midbrain extending into the thalamomesencephalic junction. The patient received an albendazole-dexamethasone course which resulted in resolution of his symptoms. The neuro-ophthalmological complications of NCC are reviewed and the clinical topography of the neuro-ophthalmological findings of this unusual observation are discussed.

Publication types

  • Case Reports

MeSH terms

  • Abducens Nerve Diseases / diagnosis
  • Adult
  • Albendazole / therapeutic use
  • Anthelmintics / therapeutic use
  • Blepharoptosis / etiology
  • Dexamethasone / therapeutic use
  • Diagnosis, Differential
  • Diplopia / drug therapy
  • Diplopia / etiology*
  • Drug Therapy, Combination
  • Headache / etiology
  • Humans
  • Male
  • Mesencephalon / parasitology
  • Mesencephalon / physiopathology
  • Neurocysticercosis / complications*
  • Neurocysticercosis / diagnosis
  • Neurocysticercosis / drug therapy
  • Neurocysticercosis / physiopathology
  • Nystagmus, Pathologic / drug therapy
  • Nystagmus, Pathologic / etiology*
  • Ocular Motility Disorders / drug therapy
  • Ocular Motility Disorders / etiology*
  • Oculomotor Nerve Diseases / diagnosis
  • Oculomotor Nerve Diseases / drug therapy
  • Oculomotor Nerve Diseases / etiology*
  • Oculomotor Nerve Diseases / parasitology
  • Reflex, Abnormal
  • Thalamus / parasitology
  • Thalamus / physiopathology

Substances

  • Anthelmintics
  • Dexamethasone
  • Albendazole