Use of High-Resolution Ultrasonography in the Diagnosis of Intramuscular Cysticercosis - A Hospital Based Study
Background: Cysticercosis is one of the basic ailment found in creating nations. Right now, extraneural tissues are normally included synchronously or metachronously with the cerebrum. Disconnected invasion of delicate tissue and muscle without neural association is more typical than recently suspected. High resolution ultrasonography has evolved now as an investigation of choice with proven sonological patterns of soft tissue cysticercosis which can entirely negate the need for invasive interventions.
Methods: Prospective evaluation of total 12 cases of extraneural cysticercosis was carried out in the department of Radio diagnosis.. HRUSG analysis of 12 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 5 cases.
Results: Around 8 patients were selected on the basis of inclusion and exclusion criteria. Among 8 cases, 3 were male and 5 were female patients. Three individuals were vegetarian and five were non vegetarian. Mean age was 35 years. All cases were diagnosed on HRUSG. Intramuscular lesion was identified in 6 cases and 2 cases had subcutaneous involvement with anterior abdominal wall in muscular plane as the commonest site in three patients. FNAC was done in 3 cases confirming the cysticercosis and was treated surgically.
Conclusions: With the appearance of high-goals ultrasonography and expanded clinical familiarity with the secluded delicate tissue-intramuscular cysticercosis particularly in endemic zone, a progressively moderate non-obtrusive methodology can be applied both in finding and treatment of these detached instances of cysticercosis.
2. Evans CAW, Garcia HH, Gilman RH. Cysticercosis. In: Strickland GT, editor. Hunter’s tropical medicine.8th ed. Philadelphia: WB Saunders; 2000.
3. Sidhu R, Nada R, Palta A. Maxillofacial cysticercosis: uncommon appearance of a common disease. J Ultrasound Med.2002;21(2):199- 202.
4. Carpio A, Escobar A, Hauser WA. Cysticercosis and epilepsy: a critical review. Epilepsia. 1998;39(10):1025-40.
5. Prasad KN, Prasad A, Verma A. Human cysticercosis and Indian scenario: a review. J.Biosci. 2008;33(4):571-82.
6. 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.
7. Naik D, Srinath MG, Kumar A. Soft tissue cysticercosis: Ultrasonographic spectrum of the disease. Indian J Radiol Imaging. 2011;21(1):60-2.
8. Mani NBS, Kalra N, Jain M. Sonographic diagnosis of a solitary intramuscular cysticercal cyst. J Clin Ultra.2001;29(8):472-5.
9. Mittal A, Gupta S, Gupta S. Subcutaneous and intramuscular cysticercosis. High resolution sonography. Indian J Dermatol Venereol leprol. 2009;75(5):515-6.
10. Vijayaraghavan SB. Sonographic appearances in cysticercosis. J Ultrasound Med. 2004;23(5):423-7.
11. 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.
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