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Imaging findings of orofacial cysticercosis: report of 5 cases with review of literature

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Abstract

Cysticercosis, a fatal disease of parasitic aetiology seen in humans, is caused by ingestion of larvae of Taenia solium in form of raw or poorly cooked pork. Commonly seen in developing countries, it affects the brain, muscle, lungs, heart and liver and is rarely found in the maxillofacial region. Sometimes, the only evidence of cysticercosis could be the cystic swellings or nodules in the maxillofacial region. Such solitary clinical presentation can be diagnosed early with the aid of ultrasound (USG) and Magnetic resonance imaging (MRI). Here, we present 5 cases of intramuscular cysticercosis of Orofacial region which were initially diagnosed on ultrasonography and later confirmed by MRI and aspiration cytology. We have conducted a systematic review of PubMed Literature for Intramuscular cysticercosis of orofacial region and highlighted key imaging findings from 18 cases retrieved. Through this case series, we highlight the USG and MRI imaging features of intramuscular cysticercosis which are characteristic and diagnostic of the condition.

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References

  1. Cox FE. History of human parasitology. Clin Microbiol Rev. 2002;15:595–612.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Wu W, Qian X, Huang Y, Hong Q. A review of the control of clonorchiasis sinensis and Taenia solium taeniasis/cysticercosis in China. Parasitol Res. 2012;111:1879–84.

    Article  PubMed  Google Scholar 

  3. García HH, Gonzalez AE, Evans CA, Gilman RH. Cysticercosis Working Group in Peru: Taenia solium cysticercosis. Lancet. 2003;362:547–56.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Del Brutto OA, Sotelo J. Neurocysticercosis: an update. Rev Infect Dis. 1988;10:1075–87.

    Article  PubMed  Google Scholar 

  5. De Souza PEA, Barreto DC, Fonseca LM, de Paula AM, Silva EC, Gomez RS. Cysticercosis of the oral cavity: report of seven cases. Oral Dis. 2000;6:253–5.

    Article  PubMed  Google Scholar 

  6. Wanjari SP, Patidar KA, Parwani RN, Tekade SA. Oral cysticercosis: a clinical dilemma. BMJ Case Rep. 2013;2013:bcr2012007482.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Sidhu R, Nada R, Palta A, Mohan H, Suri S. Maxillofacial cysticercosis: uncommon appearance of common disease. J Ultrasound Med. 2002;21:199–202.

    Article  PubMed  Google Scholar 

  8. Sethi PK, Sethi NK, Torgovnick J, Arsura E. Cysticercosis of temporalis muscle: an unusual cause of temporal headaches. A case report. J Headache Pain. 2007;8:315–6.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Mittal A, Das D, Iyer N, Nagaraj J, Gupta M. Masseter cysticercosis—a rare case diagnosed on ultrasound. Dentomaxillofac Radiol. 2008;37:113–6.

    Article  PubMed  Google Scholar 

  10. Kumar V, Gulati A, Mehra B. Cysticercosis of the temporalis muscle causing temporal headache in a pregnant woman. Int J Gynecol Obstretics. 2011;114:76–88.

    Google Scholar 

  11. Singh S, Sreenivasan V, Garg K, Wazir ND, Rajput JS, Virk PS. Cysticercosis involving muscle of mastication: a review and report of two cases. Case Rep Dent. 2013;2013:814126.

    PubMed  PubMed Central  Google Scholar 

  12. Chaurasia RN, Jaiswal S, Gautam D, Mishra VN. Masseter muscle cysticercosis: a common disease with uncommon presentation. BMJ Case Rep. 2013;2013:bcr2013009127.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Muthyala S, Krishna KV, Kishan TV, Bhuvana NS, Moorthy RS. Massetric cysticercosis with abscess formation: a diagnostic dilemma. Med J Armed Forces India. 2015;71(Suppl 1):S148–51.

    Article  PubMed  Google Scholar 

  14. Giri KY, Alam S, Dandriyal R, Natu SS. Solitary cysticercosis of the temporalis muscle: report of a rare case. J Maxillofac Oral Surg. 2015. https://doi.org/10.1007/s12663-015-0754-9.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Bhat V, Nagarjuna M, Belaval V, Shetty S, Salins PC. Cysticercosis of the masseter: MRI and sonographic correlation. Dentomaxillofac Radiol. 2015;44:20140372.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Chand S, Mishra M, Singh G, Singh A, Tandon S. Orofacial cysticercosis: report of a rare case with review of literature. Natl J Maxillofac Surg. 2016;7(2):209–12.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Virk RS, Rathi A, Penubarthi LK, Gupta AK, Bansal S. Cysticercosis of lateral pterygoid muscle. J Postgrad Med Edu Res. 2017;51(1):37–9.

    Article  Google Scholar 

  18. Malik S, Singh G, Kaur G. Temporalis cysticerci—a diagnostic dilemma and review of literature. Asian J Neurosurg. 2021;16(2):431–2.

    Google Scholar 

  19. Singh C, Devi MP, Sagar K. Tiny creature in oral cavity: a case report. J Clin Diagn Res. 2017;11(9):ZD04–5.

    PubMed  PubMed Central  Google Scholar 

  20. Kalladka M, Navaneetham A, Eliav E, Khan J, Heir G, Mupparapu M. Presentation of cysticercosis of the lateral pterygoid muscle as temporomandibular disorder: a diagnostic and therapeutic challenge. J Indian Prosthodont Soc. 2018;18(4):377–83.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Wankhede L, Sahoo SK, Hosur B. Temporalis muscle cysticercosis: common parasite at uncommon location. Case Rep. 2021;16(2):431–2.

    Google Scholar 

  22. Patel K, Shah M, Patel B, Doshi N. Subcutaneous oral cysticercosis. Natl J Community Med. 2011;2:311–3.

    Google Scholar 

  23. Rosenthal RE, Emsellem HA, Kline PP. Truncal seizures: an unusual presentation of cerebral cysticercosis. Ann Emerg Med. 1986;15:1360.

    Article  PubMed  Google Scholar 

  24. Chakraborty P, Kumari R, Jain R-K, Prasad V, Pradhan S, Joshi P. Solitary head and neck cysticercosis: a series of rare cases. Iranian J of Otorhinolaryngol. 2017;29(95):347–51.

    Google Scholar 

  25. Vijayaraghvan SB. Sonographic appearances in cysticercosis. J Ultrasound Med. 2004;23:423.

    Article  Google Scholar 

  26. Wilson AD, Adalberto MT, Roman CB, Ruben DM. Oral cysticercosis: a collaborative study of 16 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103:528–33.

    Article  Google Scholar 

  27. Ergen FB, Turkbey B, Kerimoglu U, Karaman K, Yorganc K, Saglam A. Solitary cysticercosis in the intermuscular area of the thigh: a rare and unusual pseudotumor with characteristic imaging findings. J Comput Assist Tomogr. 2005;29:260–3.

    Article  PubMed  Google Scholar 

  28. Tripathy SK, Sen RK, Akkina N, Hampannavar A, Tahasildar N, Limaye R. Role of ultrasonography and magnetic resonance imaging in the diagnosis of intramuscular cysticercosis. Skeletal Radiol. 2012;41:1061–6.

    Article  PubMed  Google Scholar 

  29. Jankharia BG, Chavhan GB, Krishnan P, Jankharia B. MRI and ultrasound in solitary muscular and soft tissue cysticercosis. Skelet Radiol. 2005;34:722–6.

    Article  Google Scholar 

  30. Santos GT, Leite CC, Machado LR, McKinney AM, Lucato LT. Reduced diffusion in neurocysticercosis: circumstances of appearance and possible natural history implications. Am J Neuroradiol. 2013;34:310–6.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Del Brutto OH, Wadia NH, Dumas M, Cruz M, Tsang VC, Schantz PM. Proposal of diagnostic criteria for human cysticercosis and neurocysticercosis. J Neurol Sci. 1996;142:1–6.

    Article  PubMed  Google Scholar 

  32. Saran RK, Ratan V, Rajwansi A, Nijkwan R, Gupta SK. Cysticercosis of oral cavity: report of five cases and a review of literature. Int J Paediat Dent. 1988;8:273–8.

    Article  Google Scholar 

  33. Deshmukh A, Avadhani A, Tupkari JV, Sardar M. Cysticercosis of the upper lip. J Oral Maxillofac Pathol. 2011;15(2):219–22.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Singal R, Mittal A, Gupta S, Gupta R, Sahu P, Gupta A. Intramuscular cysticercosis diagnosed on ultrasonography in thigh: a rare case report. N Am J Med Sci. 2010;2(3):162–4.

    PubMed  PubMed Central  Google Scholar 

  35. Park SY, Kong MH, Kim JH, Song KY. Disseminated cysticercosis. J Korean Neurosurg Soc. 2011;49:190–3.

    Article  PubMed  PubMed Central  Google Scholar 

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Gupta, S., Gupta, S., Sharma, R. et al. Imaging findings of orofacial cysticercosis: report of 5 cases with review of literature. Oral Radiol 40, 81–91 (2024). https://doi.org/10.1007/s11282-022-00651-w

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