Primary hydatidosis of the central nervous system: A retrospective study of 39 Tunisian cases

Limaïem, Faten; Bellil, Selma; Bellil, Khadija; Chelly, Inès; Mekni, Amina; Khaldi, Mohamed; Haouet, Slim; Zitouna, Moncef; Kchir, Nidhameddine

doi:10.1016/j.clineuro.2009.09.001

Cited by 50 publications

(49 citation statements)

References 13 publications

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“…Medical treatment with Albendazole both pre-and postoperatively was suggested in cases of recurrences, intraoperative cyst rupture, as well as when giant or multiple hydatid cysts are encountered [12]. Long-term follow-up in patients with cerebral hydatid cyst disease having surgery without intraoperative cyst rupture has confirmed a very good outcome [17].…”

Section: Discussionmentioning

confidence: 82%

“…Most of the symptoms tend to disappear after successful removal. Both cranial CT scan and MRI demonstrate the hydatid cysts adequately, revealing solitary, homogeneous, spherical and large parenchymal cysts with well-defined borders, without perifocal oedema or contrast enhancement [12,15]. In bone window, CT can show some bone reactions around epidural cyst, like defect [2] or exostosis as seen in this case.…”

Section: Discussionmentioning

confidence: 97%

“…This is most likely in our case. The lesions may cause no symptoms until they become quite large [11,12]. Most common symptoms are headache, vomiting, nausea, and focal neurological signs like weakness of extremities [12][13][14].…”

Section: Discussionmentioning

confidence: 99%

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Combined Intracerebral and Cranial epidural Hydatid Cysts: Case Report

Hilmani¹,

Maati²,

Azhari³

2017

IJRRT

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Background: Hydatid cyst (HC) is a parasitic disease caused by Echinococcus granulosus. Involvement of the central nervous system (CNS) is very rare in this parasitic infection and the association of intracerebral and epidural HC is exceptional. Patient and method:A 06-year-old female who was operated three years ago for a left frontal intracerebral hydatid cyst in Toto without rupture and without medical treatment following the surgery, and who came with the history of headache and vomiting for 4 months is reported. Computed tomography of the brain showed a large 5x6x5cm, cystic lesion with a density similar to the cerebrospinal fluid in the left frontal region with another adjacent small cyst in epidural space. The patient underwent left frontal craniotomy. The patient was treated by Dowling technique for intracerebral cyst and by cyst aspiration after rupture. Conclusion:Hydatid cysts in epidural location are very rare and can be primary or after recurrence. The mainstay of treatment is surgical removal of the cyst. Medical therapy is also important to prevent recurrences during the postoperative period.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 97%

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Combined Intracerebral and Cranial epidural Hydatid Cysts: Case Report

Hilmani¹,

Maati²,

Azhari³

2017

IJRRT

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“…Giant intracranial hydatid cyst (HC) is very rare, with reported incidence of 1-2% of all cases [1][2][3]. There was specific history of direct contact with dog in our patient.…”

Section: Discussionmentioning

confidence: 91%

Intracerebral hydatid cyst: A rare cause of neurosurgical emergency

Touzani¹,

Bechri²,

Joulali³

et al. 2016

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. Hydatid cyst disease in childhood is still a serious health problem in the rural areas of Morocco and other places where the parasite is endemic. Brain involvement rate is about 2% of the cases and is most commonly observed in children. Case Report: We report the case of a five-year-old boy who presented with general weakness and vomiting before rapid deterioration of consciousness, requiring an urgent operation as there were signs of midbrain herniation with a cystic lesion in the left frontoparietal region at the Computed tomography scan. The patient was discharged after one week with optimal neurological status. Although cases of cerebral hydatid disease are quite common in literature, the urgent character of our case is rarely reported and will be discussed in the light of previous cases as well as cerebral hydatid disease management. Conclusion: In case of emergencies, such as midbrain herniation with cystic lesions identified by CT scan, the possibility of hydatid cysts should be considered where the infection is endemic and the team should be prepared to remove the cyst without rupture.

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“…A large published study found that headaches and motor deficits were the predominant symptoms in patients with intracranial hydatidosis, whereas back pain and spinal cord compression syndrome were the most frequently reported clinical presentations in patients with spinal hydatidosis (10).…”

Section: Discussionmentioning

confidence: 99%