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Journal Français d'Ophtalmologie
Volume 36, n° 10
page e213 (décembre 2013)
Doi : 10.1016/j.jfo.2013.07.003
Lettres à l'éditeur

Orbital cysticercosis and third nerve palsy
Une cysticerose orbitale associée à une paralysie du troisième nerf

V. Wiwantikit a, , b, c
a Wiwanitkit House, Bangkhae, Bangkok 10160, Thailand 
b Hainan Medical University, No. 3 College Road, Longhua District, Haikou City, Hainan Province, China 
c University of Nis, University square 2, 18000 Nis, Serbia 


The recent publication on orbital cysticercosis and third nerve palsy is very interesting [1]. El Hamdaoui et al. reported a case diagnosed by immunological study. There are some concerns. First, the diagnosis of cysticercosis is usually based on the histopathology. The use of imaging or immunodiagnostic test is not definitive. The cross reaction is the main problem in using immunodiagnosis. Of interest, the cross reaction is reported for many parasitosis, including echinococcosis and gnathostomiasis [2]. Focusing on gnathostomiasis, it can present as ocular infestation and it can also cause the cranial nerve palsy [3]. Also, although it is rare, the ocular echinococcosis can be seen [4].

Disclosure of interest

The author declares that he has no conflict of interest concerning this article.

 El Hamdaoui M, Touitou V, Lehoang P. Cysticercose oculaire mimant une paralysie douloureuse du III. J Fr Ophtalmol 2012;35(10):818.e1–4


El Hamdaoui M., Touitou V., Lehoang P. Orbital cysticercosis mimicking a painful third nerve palsy J Fr Ophtalmol 2012 ;  35 : 818
Dekumyoy P., Anantaphruti M.T., Nuamtanong S., Watthanakulpanich D., Waikagu J., Danis M. Neurocysticercosis: utilizing the cystic fluid antigen from Taenia solium metacestodes for diagnosis by IgG-ELISA Southeast Asian J Trop Med Public Health 2000 ;  31 : 21-25
Boongird P., Phuapradit P., Siridej N., Chirachariyavej T., Chuahirun S., Vejjajiva A. Neurological manifestations of gnathostomiasis J Neurol Sci 1977 ;  31 : 279-291 [cross-ref]
Belmekki M., el Bakkali M., Abdellah H., Benchrifa F., Berraho A. Epidemiology of orbital processes in children. 54 cases J Fr Ophtalmol 1999 ;  22 : 394-398 [inter-ref]

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