Nita Shanbhag1, Taran Wanage2, Shalakha Sobti3, Neha Vyas4, Nupur Bhatt5
A Muslim lady, 24 year old presented with complaints of headache, orbital pain and right eye adduction deficit mimicking Internuclear Ophthalmoplegia. However absence of diplopia in primary or left gaze made us look for another cause of ocular pain. A Type II Duanes Syndrome was ruled out as there were no alterations in palpebral aperture on horizontal gazes. A painful swelling in right upper lid corner a week later made us suspect lacrimal gland inflammation. USG B scan revealed cysticercosis cyst with hyperdense scolex, around the lacrimal gland. USG did not show any EOM involvement. CT scan was done to rule out neuro-cysticercosis or any other cause of adduction deficit. Patient was successfully treated with Antihelminthics and Steroids. Orbital cysticercosis with Adduction deficit masquerading as internuclear ophthalmoplegia without muscle involvement is rare, hence been sent for publication.
