Calcified Intracranial Hydatid Cyst: Case Report

Köktekir, Ender; Yavuz, Erdem; Gökçek, Cevdet; Karatay, Mete; Yılmaz, Ali İhsan; Bayar, Mehmet Akif; Sümer, Şua

doi:10.5152/tpd.2011.56

Cited by 7 publications

(17 citation statements)

References 10 publications

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“…Furthermore, leaving type CE4 and CE5 cysts (inactive forms) untreated and just monitoring them is a treatment method used in liver hydatid cysts. Therefore, a "watch and wait" approach may be used for cysts which are calcified, inactive and do not lead to increased intracranial pressure in asymptomatic patients [25]. The choice of treatment protocol should be made according to the risks, benefits, indications and contraindications for each case.…”

Section: Discussionmentioning

confidence: 99%

Imaging features of cerebral and spinal cystic echinococcosis

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Imaging features of cerebral and spinal cystic echinococcosis

et al. 2014

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“…The disease is endemic in Iran, the Middle East, and Mediterranean countries [1][2][3]5 . It occurs most commonly in the liver and lungs [2][3][4]6 . Cerebral echinococcal cyst is very rare and represents only 2% of all CE cases [1][2][3]5 .…”

Section: Introductionmentioning

confidence: 99%

“…Cerebral echinococcal cysts are more common in children and young adults. They are mostly located in the supratentorial region and tend to occur in the distribution of the middle cerebral artery, most frequently in the parietal lobe [1][2][3][4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

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Calcified Mass on Brain CT in a Teenager with Refractory Seizures

Khalatbari¹,

Brunetti

Shobeiri

et al. 2014

Neuroradiol J

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Cerebral echinococcosis is very rare, representing 2% of all cystic echinococcosis (CE) cases. Primary echinococcal cysts of the brain are extremely rare in pediatric patients. We report on a 16-year-old boy referred to our tertiary center with intractable epilepsy for the previous three years despite receiving full doses of three antiepileptic medications. Brain computed tomography (CT) showed a left frontal calcified mass. Magnetic resonance imaging (MRI) of the brain revealed a well-defined spherical mass in the left frontal lobe, slightly hypointense on T1-weighted and heterogeneous hyperintense on T2-weighted images with no contrast enhancement. With a broad differential list in mind, a surgical intervention was planned. During surgery, a primary calcified cerebral echinococcal cyst with severe adhesion to the adjacent dura of the frontal region was discovered and removed intact. Histopathology examination confirmed the diagnosis. Only phenobarbital was continued and no medical therapy for CE was administered. Two years after surgery, the patient remained free of seizures. In areas endemic for CE, cerebral echinococcal cyst should be included in the differential list of patients with intractable seizures. Though rare, this entity can present itself as a calcified mass on neuroimaging. Surgical removal of the calcified cyst is necessary for control and treatment of the epilepsy.

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“…Echinococcus granulosus'un larva şeklinin yol açtığı kistik ekinokokkoz (KE) enfeksiyonu Türkiye'de insanlarda endemiktir. Kesin konağı köpek, asıl ara konağı ise koyun olan enfeksiyon insanlarda daha nadir ve rastlantısaldır (1)(2)(3)(4)(5)(6). Hastalık insanlara, enfekte köpek dışkısıyla birlikte atılan parazitin gebe halkalarının parçalanmasıyla açığa çıkan yumurtaların, iyi yıkanmamış çiğ sebze ve meyvelerle, enfekte sularla, toprak veya köpekle temas sonrası eller aracılığı ile ağız yoluyla alınmasıyla bulaşır.…”

Section: Introductionunclassified

Cerebral Cystic Echinococcosis in the Light of Our Experience

Duransoy

Mete²,

Selçukı³

2014

TurkiyeParazitolDerg

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Cerebral cystic echinococcosis (CCE) is rare and constitutes 1-2% of all cystic echinococcosis. The cysts are usually solitary and most frequently located in the supratentorial region. CCE is classified as primary and secondary. The primary cysts developed from the embryos which escaped from the filter systems are more frequent and usually solitary and fertile. The secondary cysts result from spontaneous, traumatic or surgical rupture of the primary CCE by embolization of scolices. They are usually multiple and infertile and do not have brood capsule or scolices. Symptoms usually develop slowly and are usually due to increased intracranial pressure and depend on the location of the cyst. Diagnosis is made by evaluation of both clinical and laboratory findings. Computed tomography and magnetic resonance imaging is successful in the diagnosis. The cysts are observed as spherical, well defined, with thin regular margins by these methods. The most appropriate treatment method is total surgical removal of the cyst without rupture by using Dowling's method. However, when it is not possible to remove without rupture, the cyst should be removed totally after puncture and aspiration of contents of the cyst. After removal of large cysts, complications such as porencephalic cysts and subdural hemorrhage can occur postoperatively.

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Calcified Intracranial Hydatid Cyst: Case Report

Cited by 7 publications

References 10 publications

Imaging features of cerebral and spinal cystic echinococcosis

Imaging features of cerebral and spinal cystic echinococcosis

Calcified Mass on Brain CT in a Teenager with Refractory Seizures

Cerebral Cystic Echinococcosis in the Light of Our Experience

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