Soft tissue and muscular cysticercosis treatment depends on location of the cysts. Isolated skeletal muscle or subcutaneous cysticercosis requires no specific treatment unless it is painful, and then simple excision may be required. Small case series suggest that antiparasitic therapy with albendazole (Albenza) or praziquantel (Biltricide), generally in conjunction with steroids, is effective in the treatment of extraocular muscle involvement. 20 , 24 However, surgical excision is an option, and an ophthalmologic consultation is warranted.
Isoprene itself does not undergo the building process, but rather activated forms, isopentenyl pyrophosphate (IPP or also isopentenyl diphosphate) and dimethylallyl pyrophosphate (DMAPP or also dimethylallyl diphosphate), are the components in the biosynthetic pathway. IPP is formed from acetyl-CoA via the intermediacy of mevalonic acid in the HMG-CoA reductase pathway . An alternative, totally unrelated biosynthesis pathway of IPP is known in some bacterial groups and the plastids of plants, the so-called MEP(2-Methyl-D-erythritol-4-phosphate)-pathway, which is initiated from C5-sugars. In both pathways, IPP is isomerized to DMAPP by the enzyme isopentenyl pyrophosphate isomerase.