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
Cox FE. History of human parasitology. Clin Microbiol Rev. 2002;15:595–612.
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.
García HH, Gonzalez AE, Evans CA, Gilman RH. Cysticercosis Working Group in Peru: Taenia solium cysticercosis. Lancet. 2003;362:547–56.
Del Brutto OA, Sotelo J. Neurocysticercosis: an update. Rev Infect Dis. 1988;10:1075–87.
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.
Wanjari SP, Patidar KA, Parwani RN, Tekade SA. Oral cysticercosis: a clinical dilemma. BMJ Case Rep. 2013;2013:bcr2012007482.
Sidhu R, Nada R, Palta A, Mohan H, Suri S. Maxillofacial cysticercosis: uncommon appearance of common disease. J Ultrasound Med. 2002;21:199–202.
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.
Mittal A, Das D, Iyer N, Nagaraj J, Gupta M. Masseter cysticercosis—a rare case diagnosed on ultrasound. Dentomaxillofac Radiol. 2008;37:113–6.
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.
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.
Chaurasia RN, Jaiswal S, Gautam D, Mishra VN. Masseter muscle cysticercosis: a common disease with uncommon presentation. BMJ Case Rep. 2013;2013:bcr2013009127.
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.
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.
Bhat V, Nagarjuna M, Belaval V, Shetty S, Salins PC. Cysticercosis of the masseter: MRI and sonographic correlation. Dentomaxillofac Radiol. 2015;44:20140372.
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.
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.
Malik S, Singh G, Kaur G. Temporalis cysticerci—a diagnostic dilemma and review of literature. Asian J Neurosurg. 2021;16(2):431–2.
Singh C, Devi MP, Sagar K. Tiny creature in oral cavity: a case report. J Clin Diagn Res. 2017;11(9):ZD04–5.
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.
Wankhede L, Sahoo SK, Hosur B. Temporalis muscle cysticercosis: common parasite at uncommon location. Case Rep. 2021;16(2):431–2.
Patel K, Shah M, Patel B, Doshi N. Subcutaneous oral cysticercosis. Natl J Community Med. 2011;2:311–3.
Rosenthal RE, Emsellem HA, Kline PP. Truncal seizures: an unusual presentation of cerebral cysticercosis. Ann Emerg Med. 1986;15:1360.
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.
Vijayaraghvan SB. Sonographic appearances in cysticercosis. J Ultrasound Med. 2004;23:423.
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.
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.
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.
Jankharia BG, Chavhan GB, Krishnan P, Jankharia B. MRI and ultrasound in solitary muscular and soft tissue cysticercosis. Skelet Radiol. 2005;34:722–6.
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.
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.
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.
Deshmukh A, Avadhani A, Tupkari JV, Sardar M. Cysticercosis of the upper lip. J Oral Maxillofac Pathol. 2011;15(2):219–22.
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.
Park SY, Kong MH, Kim JH, Song KY. Disseminated cysticercosis. J Korean Neurosurg Soc. 2011;49:190–3.
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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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DOI: https://doi.org/10.1007/s11282-022-00651-w