An unusual cause of acquired horizontal diplopia in a young adult

Wong, Y.

doi:10.1136/bjo.2004.052258

Cited by 7 publications

(2 citation statements)

References 6 publications

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“…Human cysticercosis in Nepalese people has been described since the early 1990s, mainly through reports of patients with neurocysticercosis (NCC) [101] , [102] , [103] , [104] , [105] , [106] , [107] , [108] , [109] , [110] , [111] , ocular cysticercosis [112] , [113] , [114] , [115] , [116] and muscular and soft tissue cysticercosis [117] , [118] , [119] , [120] , [121] , [122] , [123] , [124] , [125] . Its public health impact however did not receive full attention until the 2000s.…”

Section: Resultsmentioning

confidence: 99%

The Burden of Parasitic Zoonoses in Nepal: A Systematic Review

et al. 2014

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BackgroundParasitic zoonoses (PZs) pose a significant but often neglected threat to public health, especially in developing countries. In order to obtain a better understanding of their health impact, summary measures of population health may be calculated, such as the Disability-Adjusted Life Year (DALY). However, the data required to calculate such measures are often not readily available for these diseases, which may lead to a vicious circle of under-recognition and under-funding.MethodologyWe examined the burden of PZs in Nepal through a systematic review of online and offline data sources. PZs were classified qualitatively according to endemicity, and where possible a quantitative burden assessment was conducted in terms of the annual number of incident cases, deaths and DALYs.Principal FindingsBetween 2000 and 2012, the highest annual burden was imposed by neurocysticercosis and congenital toxoplasmosis (14,268 DALYs [95% Credibility Interval (CrI): 5450–27,694] and 9255 DALYs [95% CrI: 6135–13,292], respectively), followed by cystic echinococcosis (251 DALYs [95% CrI: 105–458]). Nepal is probably endemic for trichinellosis, toxocarosis, diphyllobothriosis, foodborne trematodosis, taeniosis, and zoonotic intestinal helminthic and protozoal infections, but insufficient data were available to quantify their health impact. Sporadic cases of alveolar echinococcosis, angiostrongylosis, capillariosis, dirofilariosis, gnathostomosis, sparganosis and cutaneous leishmaniosis may occur.Conclusions/SignificanceIn settings with limited surveillance capacity, it is possible to quantify the health impact of PZs and other neglected diseases, thereby interrupting the vicious circle of neglect. In Nepal, we found that several PZs are endemic and are imposing a significant burden to public health, higher than that of malaria, and comparable to that of HIV/AIDS. However, several critical data gaps remain. Enhanced surveillance for the endemic PZs identified in this study would enable additional burden estimates, and a more complete picture of the impact of these diseases.

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Section: Resultsmentioning

confidence: 99%

The Burden of Parasitic Zoonoses in Nepal: A Systematic Review

et al. 2014

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“…Cysticercosis as a cause of medial rectus myositis have been reported by others [197,208,218,221,[252][253][254][255][256] most of patients presented headache, orthotropia in primary gaze, painful drooping of the eyelid, decrease visual acuity, and on examination of the ocular motility, abduction deficit with the resulting horizontal diplopia is found. Sometimes the head of patients turns to the non-paretic side to allow them to attain single binocular vision.…”

Section: Medial Rectus Muscle Cysticercosismentioning

confidence: 96%