Diagnosis of Isolated Soft Tissue and Intramuscular Cysticercosis Using High Resolution Ultrasonography
DOI:
https://doi.org/10.21276/4npba809Keywords:
Isolated cysticercosis, High resolution ultrasound, FNACAbstract
Background: In Cysticercosis, the extraneural tissues are usually involved synchronously or metachronously with the brain. Isolated infestation of soft tissue and muscle in the absence of neural involvement found more commonly than previously known. High resolution ultrasonography has emerged now as an investigation of choice with proven sonological patterns of soft tissue cysticercosis which can entirely negate the need for invasive interventions.
Methods: This Prospective study was conducted on total 6 cases of extraneural cysticercosis over a period of 5 months at Department of Radio diagnosis, Rajshree Medical Institute, Bareilly. HRUSG analysis of 6 cases was done to evaluate and classify the various classic sonomorphological features of isolated cysticercosis involving soft tissue and muscles. FNAC was done only in 2 cases.
Results: Around 6 patients were selected on the basis of inclusion and exclusion criteria. Among 6 cases, 2 were male and 4 were female patients. Two individuals were vegetarian and four were found to be non-vegetarian. Mean age was 39 years. All cases were diagnosed with the help of HRUSG. Intramuscular lesion was identified in 4 cases and 2 cases had subcutaneous involvement with anterior abdominal wall in muscular plane as the commonest site in two patients. FNAC was done in 2 cases confirming the cysticercosis and was treated surgically.
Conclusions: We conclude that with the advent of high resolution ultrasonography and increased clinical awareness of the isolated soft tissue-intramuscular cysticercosis especially in endemic zone, a more conservative non-invasive approach can be applied both in diagnosis and treatment of these isolated cases of cysticercosis.
Downloads
References
Garcia HH, Gonzalez AA, Evans CAW. Taenia Solium cysticercosis. Lancet. 2003;361:547-56.
Evans CAW, Garcia HH, Gilman RH. Cysticercosis. In: Strickland GT, editor. Hunter’s tropical medicine.8th ed. Philadelphia: WB Saunders; 2000.
Sidhu R, Nada R, Palta A. Maxillofacial cysticercosis: uncommon appearance of a common disease. J Ultrasound Med.2002;21(2):199-202.
Carpio A, Escobar A, Hauser WA. Cysticercosis and epilepsy: a critical review. Epilepsia. 1998;39(10):1025-40.
Prasad KN, Prasad A, Verma A. Human cysticercosis and Indian scenario: a review. J.Biosci. 2008;33(4):571-82.
Abdelwahab IF, Klein MJ, Hermann G. Solitary cysticercosis of the bicep brachii in a vegetarian: a rare and unusual pseudotumor. Skeletal Radiol. 2003;32(7):424-8.
Naik D, Srinath MG, Kumar A. Soft tissue cysticercosis: Ultrasonographic spectrum of the disease. Indian J Radiol Imaging. 2011;21(1):60-2.
Mani NBS, Kalra N, Jain M. Sonographic diagnosis of a solitary intramuscular cysticercal cyst. J Clin Ultra.2001;29(8):472-5.
Mittal A, Gupta S, Gupta S. Subcutaneous and intramuscular cysticercosis. High resolution sonography. Indian J Dermatol Venereol leprol. 2009;75(5):515-6.
Vijayaraghavan SB. Sonographic appearances in cysticercosis. J Ultrasound Med. 2004;23(5):423-7.
Lohra S, Barve S, Lohra P, Nanda S. Subcutaneous Cysticercosis: Role of high resolution ultrasound in diagnosis. Nat. J Med Res. 2014;4(1):82-6.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 International Archives of BioMedical and Clinical Research (IABCR)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors are required to sign and submit the completed “Copyright transfer Form” upon acceptance of publication of the paper. This is determined by a publishing agreement between the author and International Archives of Biomedical and Clinical Research. These rights might include the right to publish, communicate and distribute online. Author(s) retain the copyright of their work. International Archives of Biomedical and Clinical Research supports the need for authors to share, disseminate and maximize the impact of their research.
