Brain hydatidosis: report on 117 cases

Khaldi, Mohamed; Mohamed, Sarar; Kallel, Jalel; Khouja, N

doi:10.1007/s003810000348

Cited by 65 publications

(54 citation statements)

References 3 publications

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“…In patients with CE, central nervous system (CNS) involvement is rare and is seen in nearly 1.6-5.2% of the patients (15,16). In our case series, CNS involvement was seen in only 2 (0.8%) patients.…”

Section: Discussionmentioning

confidence: 52%

Evaluation of Patients with Cystic Echinococcosis

Türkoğlu¹,

Demirtürk²,

Tünay³

et al. 2017

TurkiyeParazitolDerg

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Objective: Cystic echinococcosis (CE) is a globally prevalent zoonotic disease. Methods: Demographic, clinical, laboratory, and follow-up data of patients between May 2009 and 2015 were retrospectively analyzed by screening data from a hospital automation system. Results: A total of 238 (females, n=139 and males, n=99) patients with a mean age of 40.6±20.58 years were included. Less than half (40.8%) of the patients were living in the countryside. Hepatic involvement of CE was most frequently (72.2%) seen. A majority (75.6%) of the patients were symptomatic, but abdominal pain was the most frequently seen symptom. For diagnosis, in all patients, imaging modalities were used, while in 66% of the patients, serological methods were also employed. The patients received both medical and surgical treatments (78.5%, n=187), only surgical treatment (10.5%, n=25), or only medical treatment (8.8%, n=21). Surgical treatment was performed for patients with hepatic (n=139/176, 80.6%), pulmonary (n=78/94, 82.9%), splenic (n=7/9; 77.7%), and mesenteric (n=6/7, 85.1%) cysts, and patients cases with brain, bone, muscle, omentum, bladder, and adrenal cysts had undergone surgical intervention. Conclusion: Publication of regional data is important in terms of epidemiological considerations and may aid in the formulation of standard treatment approaches. En sık tutulan organ karaciğer (%72,2) idi. Hastaların %75,6'sı semptomatik olup en sık görülen semptom karın ağrısı idi. Tanıda tüm hastalarda görüntüleme yöntemine başvurulurken, %66' sında serolojik yöntem de kullanılmıştı. Hastaların % 78,5'i (n=187) hem medikal hem cerrahi tedavi, %10,5'i (n=25) yalnız cerrahi tedavi, %8,8'i (n=21) ise yalnız medikal tedavi almıştı. Karaciğer tutulumu saptanan 173 hastanın %80,6'sına (n=139), akciğer tutulumu saptanan 94 hastanın %82,9'una (n=78), dalakta tutulum saptanan 9 hastanın %77,7' sine (n=7), mesenterde kist saptanan 7 hastanın %85,1'ine (n=6); beyin, kemik, kas, omentum, mesane ve sürrenalde kist saptananların ise tümüne cerrahi uygulandığı tespit edildi. Sonuç: Bölgesel verilerin yayınlanması, epidemiyolojik açıdan önem taşıdığı gibi standart tedavi algoritmalarının oluşturulmasına yardımcı olabilir.

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Section: Discussionmentioning

confidence: 52%

Evaluation of Patients with Cystic Echinococcosis

Türkoğlu¹,

Demirtürk²,

Tünay³

et al. 2017

TurkiyeParazitolDerg

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“…Finally, we found no lesions on the MRI or CT scans supporting the diagnosis of etiologies commonly associated with epilepsy in developing countries (13)(14)(15)(16)(17). The following considerations may explain this finding.…”

Section: Discussionmentioning

confidence: 71%

“…Finally, MRI or CT scans showed no lesions supporting a diagnosis of neurocysticercosis, tuberculosis, echinococcosis (hydatidosis, or hydatid disease), or any other etiology commonly associated with developing countries (13)(14)(15)(16)(17).…”

Section: Resultsmentioning

confidence: 99%

Relative frequency, clinical, neuroimaging, and postsurgical features of pediatric temporal lobe epilepsy

Sales

Velasco

Funayama

et al. 2006

Braz J Med Biol Res

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We describe the relative frequency, clinical features, neuroimaging and pathological results, and outcome after pharmacological or surgical intervention for a series of pediatric patients with temporal lobe epilepsy (TLE) from an epilepsy center in Brazil. The medical records of children younger than 12 years with features strongly suggestive of TLE were reviewed from January 1999 to June 1999. Selected children were evaluated regarding clinical, EEG, and magnetic resonance imaging (MRI) investigation and divided into three groups according to MRI: group 1 (G1, N = 9), patients with hippocampal atrophy; group 2 (G2, N = 10), patients with normal MRI, and group 3 (G3, N = 12), patients with other specific temporal lesions. A review of 1732 records of children with epilepsy revealed 31 cases with TLE (relative frequency of 1.79%). However, when the investigation was narrowed to cases with intractable seizures that needed video-EEG monitoring (N = 68) or epilepsy surgery (N = 32), the relative frequency of TLE increased to 19.11 (13/68) and 31.25% (10/32), respectively. At the beginning of the study, 25 of 31 patients had a high seizure frequency (80.6%), which declined to 11 of 31 (35.5%) at the conclusion of the study, as a consequence of pharmacological and/or surgical therapy. This improvement in seizure control was significant in G1 (P < 0.05) and G3 (P < 0.01) mainly due to good postsurgical outcome, and was not significant in G2 (P > 0.1, McNemar's test). These results indicate that the relative frequency of TLE in children was low, but increased considerably among cases with pharmacoresistant seizures. Patients with specific lesions were likely to undergo surgery, with good postoperative outcomes. Correspondence

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“…Puede presentarse con síntomas o signos de hipertensión endocraneal, convulsiones o signos de focalización neurológica 1,2,9 . Duishanbai y cols.…”

Section: Discussionunclassified