Intracranial hydatid cyst is a rare cause of midbrain herniation: A case report and literature review

Duransoy, Yusuf Kurtuluş; Mete, Mesut; Barutçuoğlu, Mustafa; Ünsal, Ülkün Ünlü; Selçukı, Mehmet

doi:10.4103/1817-1745.123683

Cited by 7 publications

(5 citation statements)

References 19 publications

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“…Common symptoms include progressive installation of increased intracranial pressure, with or without focal neurological signs, as observed in our patient. Seizures and visual disturbances are also reported [7]. The neurological examination can range from asymptomatic to extremely severe states, involving behavioral disorders and unconsciousness [7].…”

Section: Giant Hydatic Cyst In a Infantmentioning

confidence: 99%

“…Seizures and visual disturbances are also reported [7]. The neurological examination can range from asymptomatic to extremely severe states, involving behavioral disorders and unconsciousness [7].…”

Section: Giant Hydatic Cyst In a Infantmentioning

confidence: 99%

“…This technique allows for complete removal of the cyst without rupture and minimal damage to the cerebral parenchyma. Aspiration puncture, although less frequently employed, may be considered for cysts at high risk of rupture, such as those located in the fourth ventricle, brainstem, or thalamus [7]. Antiparasitic treatment, typically with Albendazole, is administered at a dose of 10 mg/kg/day for 3 months [1].…”

Section: Giant Hydatic Cyst In a Infantmentioning

confidence: 99%

“…The prognosis is generally favorable if the diagnosis is made promptly, leading to early treatment and the prevention of neurological sequelae. In addition to surgical intervention and drug therapy, preventive measures play a crucial role, necessitating the formulation of targeted public health policies to minimize the occurrence and impact of hydatid cysts [7].…”

Section: Giant Hydatic Cyst In a Infantmentioning

confidence: 99%

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Giant Hydatic Cyst in a 2-Year-Old Infant

Echnin,

Jehri,

Zaari

et al. 2023

EJMED

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Background: Infantile cerebral hydatidosis is a serious infection and represents a major problem of public health that threatens the economy of countries in which it is endemic. It imposes a large-scale prophylaxis based on the interruption of the parasite cycle. Case description: We present a case of a 2-year-old girl with no medical history living in a rural region (Sidi Ifni), where contact with dogs, sheep, and cattle is not uncommon. One month before her admission, increased intracranial pressure (ICP) symptoms appeared made of headaches, vomiting, and visual disturbances. 15 days later, motor deficits and impaired consciousness were installed. The clinical examination found a sleepy infant with a Glascow Coma Scale at 14, left hemiparesis at 2/5 (Medical Research Council score), and bilateral 6th nerve palsy, A brain CT scan was performed, showing a round hypodense intraparenchymal lesion at the right frontal lobe. The intervention was performed to remove the gliant hydatic cyst according to the Dowling-Orlando technique. Postoperatively the patient had no motor deficit. The histopathological exam confirmed the diagnosis of an echinococcus granulosis cyst. Conclusion: Presentation of such a giant cyst in a 2-year-old infant is very rare. In such cases, genotype analysis of the parasite should be performed. The surveillance of dogs and periodic testing of their stools, with treatment if they are found to be infected, and preventing their access to raw offal at slaughterhouses and farms, will be effective in controlling the menace of hydatidosis.

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Section: Giant Hydatic Cyst In a Infantmentioning

confidence: 99%

Section: Giant Hydatic Cyst In a Infantmentioning

confidence: 99%

Section: Giant Hydatic Cyst In a Infantmentioning

confidence: 99%

Section: Giant Hydatic Cyst In a Infantmentioning

confidence: 99%

See 2 more Smart Citations

Giant Hydatic Cyst in a 2-Year-Old Infant

Echnin,

Jehri,

Zaari

et al. 2023

EJMED

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“…The cause of acquired brain herniation is either acute or chronic increased intracranial pressure due to space-occupying pathologies 1,2 . Type II Chiari malformation and related posterior fossa shunting may rarely lead to uncal herniation secondary to a negative pressure gradient 3,4 .…”

Section: Introductionmentioning

confidence: 99%

Idiopathic Brain Herniation

et al. 2014

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This study reports the natural history of unruptured brain arteriovenous malformations (AVMs) and the risks involved in their endovascular management. A total of 242 patients at our center were enrolled in the study, which had retrospective and prospective components. We retrospectively assessed the morbidity and mortality related to endovascular management in 125 patients with unruptured AVMs. We prospectively assessed the natural history of unruptured AVMs in 117 patients with newly diagnosed unruptured AVMs; 48 of the patients had no history of seizure (Group 1), whereas 69 had a history of seizure from the lesion (Group 2). The retrospective group was also divided into patients with and without seizures. The cumulative rate of rupture of AVMs in Group 2 was less than 0.8% per year, while the rate was approximately sixfold higher (5.1% per year) in Group 1. The overall cumulative rate of rupture of AVMs was less than 3.0% per year. The overall rate of endovascular management-related morbidity and mortality was 10.6% in Group 2 and 11.9% in Group 1 at 30 days and was 25.9% and 13.6%, respectively, at one year. There was no independent predictor of a poor endovascular outcome. The likelihood of rupture of unruptured AVMs was exceedingly low among patients in Group 2 and was substantially higher among those in Group 1. The risk of morbidity and mortality related to endovascular management greatly exceeded the six-year risk of rupture among patients in Group 2. Endovascular management of an AVM should not be performed to eliminate or to improve seizure frequency.

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