Multiple hydatid cysts of the brain: A case report and review of the literature

Yüceer, Nurullah; Güven, Mehmet Bahadn; Yılmaz, Hasan

doi:10.1007/bf02389329

Cited by 24 publications

(45 citation statements)

References 36 publications

(45 reference statements)

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“…Especially in children, cerebral hydatid cysts can grow to an enormous size because of the elastic structure of bone and the relatively higher compressibility of the neural tissue [13]. Multiple cysts can be due either to embolization of multiple larvae or to traumatic, iatrogenic, or even spontaneous cyst rupture [14,15]. Clinical features are not specific, depending on size and location: headache and signs of raised intracranial pressure are mostly reported, while focal neurological deficits and seizures are less frequent.…”

Section: Discussionmentioning

confidence: 99%

Primary Hydatid Cyst of the Brain in a Child: A Case Report

et al. 2016

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SummaryBackgroundPrimary intracranial hydatid cyst is a rare location of human echinococcosis whose spontaneous, traumatic or even iatrogenic rupture, as in case of misdiagnosis, may cause anaphylactic reactions and dissemination.Case ReportWe discuss the management of a 9-year-old boy who was admitted to our Emergency Department with an intracranial hypertension syndrome. Head CT scan and brain MRI showed a huge intra-axial right temporo-parieto-occipital cyst with a marginal calcification, associated with left ventricular uncompensated hydrocephalus. DTI showed displacement of the ipsilateral corticospinal tract, whereas MR spectroscopy showed absence of normal brain metabolites and presence of succinate and lactate within the cyst. A diagnosis of hydatid cyst was then presumed on the basis of the neuroradiological findings. Empiric chemotherapy with albendazole was instituted and surgical en bloc removal of the cyst was obtained, allowing the patient to recover without complications. Diagnosis of brain echinococcosis was confirmed by laboratory tests.ConclusionsHE is still an endemic manifestation in some rural areas of the world, and it should be included in the differential diagnosis of children living in or coming from an endemic country who present with an intracerebral cyst. Early diagnosis and complete surgical removal of the intact cyst are the main factors that determine a favourable outcome.

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Section: Discussionmentioning

confidence: 99%

Primary Hydatid Cyst of the Brain in a Child: A Case Report

et al. 2016

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“…Today, in most patients the cystic lesions are diagnosed by CT scanning and/or MRI. These generally reveal a characteristic round, well-defined unilocular cystic lesion containing fluid with absorption values similar to that of CSF [5,8,9,11,31,51,85,86,89,103,104,111]. Single cysts are found in the vast majority of patients, but multiple cysts can result from surgical, spontaneous, or traumatic rupture of a viable primary lesion [96,100,103].…”

Section: Intracranial Hydatid Cystsmentioning

confidence: 98%

Hydatidosis of central nervous system and its coverings in the pediatric and adolescent age groups in Turkey during the last century: a critical review of 137 cases

Turğut

2002

Child's Nervous System

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Despite the inherent limitations, this type of study indicates that the incidence of hydatidosis has not decreased in Turkey in recent years. The clinical findings were mostly atypical, and it was interesting that 4 patients were described as having cerebrovascular occlusive disease and 3 as having symptoms of movement disorders. Computed tomography and/or MRI techniques were extremely useful, both in reaching the correct diagnosis and for proper surgical management of hydatid disease, because of the absence of a pathognomonic clinical picture of this disease. The treatment of choice for hydatid disease of the CNS and its coverings was complete intact removal of the cyst. In contrast to that in intracranial hydatid cysts, however, surgical intervention was palliative, not curative, in almost all cases of intraspinal hydatidosis. According to this critical review of the literature, CNS hydatidosis is therefore still a life-threatening condition, in spite of all the advances in imaging techniques and therapeutic methods. The most important factors in prognosis are the localization of the focus of infection, rupture and of the cyst and dissemination of its content, and treatment modality. At present, surgical intervention preceded by careful neuroradiological evaluation remains the best surgical therapy, and this plus adjuvant chemotherapy is advocated in some cases as the gold standard for therapy.

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“…CT, MRI and ultrasonography are all useful techniques to localize lesions and may be used to predict the differential diagnosis of the cystic structure [32]. CT usually shows the cysts as intraparenchymal, hypodense, rounded mass lesions without perifocal edema [2,3,33,34].…”

Section: Discussionmentioning

confidence: 99%

Unusual Location of Hydatid Cysts in Pediatric Patients

Dağtekin¹,

Koseoglu²,

Kara

et al. 2009

Pediatr Neurosurg

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Objective/Aims: To emphasize the importance of diagnosis and treatment of unusually localized hydatid cysts in pediatric cases. Methods: Hydatid cyst patients of two departments were listed who had undergone surgery between January 2001 and December 2008. Of the 7 pediatric patients, 3 were chosen as the ones with unusual localization. Cyst removal with Dowling’s technique was performed in 2 cases and total removal of the cyst wall was achieved after cyst aspiration in the other patient. Results: Two patients did not show any signs of recurrence. Some of the cranial multiple cysts of the patient who had undergone her first surgery in another clinic with cyst rupture were successfully removed in our clinic. Six months later, she was admitted with spinal seedings. Conclusion: Hydatid cyst removal without rupture should be the surgical goal in all cases. Radiological evaluation is of utmost importance for differential diagnosis. When a cystic lesion is found in the central nervous system on radiological evaluation, hydatid disease must be considered in countries where the disease is endemic and surgery is to be planned emergently especially for pediatric cases with increased intracranial pressure. The study focuses on the strategy for the correct diagnosis and the appropriate treatment of unusually localized hydatid cysts.

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Multiple hydatid cysts of the brain: A case report and review of the literature

Cited by 24 publications

References 36 publications

Primary Hydatid Cyst of the Brain in a Child: A Case Report

Primary Hydatid Cyst of the Brain in a Child: A Case Report

Hydatidosis of central nervous system and its coverings in the pediatric and adolescent age groups in Turkey during the last century: a critical review of 137 cases

Unusual Location of Hydatid Cysts in Pediatric Patients

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