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LETTER TO THE EDITOR |
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Year : 2012 | Volume
: 15
| Issue : 1 | Page : 68 |
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Cysticercosis and ptosis
Somsri Wiwanitkit, Viroj Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok, Thailand
Date of Web Publication | 29-Feb-2012 |
Correspondence Address: Somsri Wiwanitkit Wiwanitkit House, Bangkhae, Bangkok Thailand
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0972-2327.93291
How to cite this article: Wiwanitkit S, Wiwanitkit V. Cysticercosis and ptosis. Ann Indian Acad Neurol 2012;15:68 |
Sir,
The recent publication on cysticercosis and ptosis is very interesting. [1] Netravathi et al. reported an uncommon presentation of neurocysticercosis and concluded that "Patients with ptosis need to be evaluated for other rare central cause especially when neostigmine test is negative." [1] Indeed, the ptosis due to parasitic infestation is not rare in tropical countries. [2] It should be noted that not only central neurocysticercosis but also ocular cysticercosis can induce ptosis. [3] Hence, the investigation of unexplained ptosis without neostigmine should start from the problem at the ocular and the surrounding areas then the central nervous system.
Other rare disorders, including the malignancy, should also be included in differential diagnosis. [4]
References | |  |
1. | Netravathi M, Banuprakash AS, Khamesra R, Singh NH. Cysticercosis of midbrain presenting with fluctuating ptosis. Ann Indian Acad Neurol 2011;14:208-10.  [PUBMED] |
2. | Wiwanitkit V. Ptosis due to parasitic infestation. Singapore Med J 2010;51:178.  [PUBMED] [FULLTEXT] |
3. | Rath S, Honavar SG, Naik M, Anand R, Agarwal B, Krishnaiah S, et al. Orbital cysticercosis: Clinical manifestations, diagnosis, management, and outcome. Ophthalmology 2010;117:600-5,605.e1.  |
4. | Preechawai P, Amrith S, Yip CC, Goh KY. Orbital metastasis of renal cell carcinoma masquerading as cysticercosis. Orbit 2008;27:370-3.  [PUBMED] [FULLTEXT] |
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