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A report on 2188 cases: REFERENCES:
Enceohalon............................................1719 (78.6%) Markell, E., et al. Medical Parasitology, 6th Edition.
Spinal C0rd ...............................................72 (3.3%) Sauders, W.B., Phila. 1986.
Eye & Adnsxa......................................... 368 (16.8%)
Subcutaneous Tis ................................... 159 (7.3%) Flisser, A., et al. Cysticercosis: Present State of
Muscle ....................................................... 79 (3.6%) Knowledge and Perspectives.
Heart..........................................................31 (1.4%)
Others ......................................................124 (5.7%)
Academic Press, New York, 1982.
Generalized................................................23 (1.1%) Sabiston, D. Essentials of Surgery: Sauders Co. New
100%
York, 1987.
Tami, T. Laryngeal Cysticercosis. Otolaryngol-
A diagnosis of cysticercosis is made by palpation
of cysticerci, by biopsy of the cyst, and by identi- ogy- 96, No. Head3, and March Neck 1987. Surgery. Vol.
fication of the hooked head of the future worm in
each of these cysts. Kinman, J. Cysticercosis in Otolaryngology. Archives
of Otolaryngology. Vol. 102 March
Eradication of the adult worms from the intestine
1976.
should not be delayed when infestation of Taenia
solium is detected. Early precautions must be taken
Lee, K.J., Essential Otolargology, Head and Neack
to ensure that dissemination of the eggs cannot occur. Surgery, Medical Exam Publishing
It is important that the head of the worm is released Co., New York, 1987.
from its hold on the intestine. If it remains, even
though all the existing segments of the worm are
removed, formation of new segments will restore the
worm to its full size within a few months. The drug
traditionally used is quinacrine hydrocloride.
Preventions primarily by personal hygiene. This
is followed by general sanitary measures such as
cooking at 65.5 C or freezing at 20 C for not less
than 12 hours. These are effective ways of destroying
the larvae.
Mild infestations can cause little trouble, but in
cases of cerebral cysticercosis, the prognosis is very
poor.
CONCLUSION
The multitude of diagnostic possibilities presented
as a neck mass definitely arouses the curiosity and
scrutiny of every practicing physician. The possibility
of a parasitic infection in the form of Cysticercosis
has been presented. Although the possibility is rarely
encountered, knowledge of its occurence should make
each clinician aware of the fact that behind every neck
mass, "worm maybe hiding".
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