Three Unusual Cases of Intracranial Hydatid Cyst in the Pediatric Age Group

Önal, Çağatay; Barlas, Orhan; Orakdöğen, Metin; Hepgül, Kemal; İzgi, Nail; Ünal, Faruk

doi:10.1159/000121193

Cited by 36 publications

(29 citation statements)

References 23 publications

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“…Therefore, these 2 cases were added to the late surgical mortality in the statistics. The remaining 2 patients with insufficient follow-up are a 9-year-old boy with multiple intracranial secondary hydatid 17,- cysts of hepatic origin [34]and a 12-year-old boy with intracranial involvement secondary to pulmonary hydatid disease. They were both operated for neural and extraneural sites and had 2- and 3-year follow-ups, respectively, with an uneventful course.…”

Section: Patients and Resultsmentioning

confidence: 99%

“…A 12-year-old boy with a solitary intraventricular hydatid cyst operated by PAIR technique (puncture, aspiration, irrigation, resection) had an uneventful course of 19 years till his death due to an unrelated reason as described previously. An emergent cyst puncture in the CT room was performed in a 13-year-old girl admitted in areflexia who survived after cyst puncture and successive mass removal [34](fig. 4).…”

Section: Patients and Resultsmentioning

confidence: 99%

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Long-Term Follow-Up and Results of Thirty Pediatric Intracranial Hydatid Cysts: Half a Century of Experience in the Department of Neurosurgery of the School of Medicine at the University of Istanbul (1952–2001)

Önal

Ünal²,

Barlas³

et al. 2001

Pediatr Neurosurg

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A series of 30 documented cases of intracranial hydatid cyst out of 33 pediatric and 45 total patients admitted to the Department of Neurosurgery of the School of Medicine at Istanbul University within the years 1952–1996 is presented. The pediatric population consisted of 73% of the series. Twenty patients (66%) are alive and well after a follow-up period of 8–45 years (mean 21.5 years). Six patients (20%) died and 4 (13%) were lost to follow-up. There were 3 early postoperative deaths (10%), 2 being in the pre-CT era. In 4 cases (13%), brain involvement was secondary, and 2 cases (7%) had multiple intracranial hydatid cysts. Age ranged from 4 to 16 years, with a mean of 10.4. There were 5 intraventricular (17%) and 2 (7%) intracranial extradural settlements. No children with posterior fossa hydatid cyst, primary skull hydatidosis or concomitant spinal involvement were detected. One patient (3%) presented with ‘rhinorrhea’ which in fact was a hydatid fluid leak. Preoperative pseudocerebellar syndrome, convulsion and extrapyramidal signs were seen in 6 patients each (20%). Five patients (17%) had permanent visual deficits, 3 being in pre-CT era. Out of 29 patients operated on, hydatid birth with intact cyst removal was achieved in 18 cases (62%), with no other manipulation needed. This rate has increased to 70% in the CT era. Intraoperative accidental rupture occurred in 8 cases (28%), of which 7 were localized frontally or had a frontal involvement (88% of the ruptured cases). Of the patients with intraoperative rupture, 5 are dead (63%) and they were all primary. In contrast, all 3 cases alive with intraoperative rupture are secondary. Three cases were punctured on purpose (10%). Four of the operated patients (14%) required long-term antiepileptic therapy, 3 having no preoperative seizures. Only 1 patient required a shunt (3%). Four cases had recurrence, all with intraoperative cyst rupture (14%). The long-term evaluation of the results yielded an overall mortality rate of 21%. Routine use of CT after the 80s decreased the rate to 14%. With the analysis of 50 years of data, it is strongly concluded that brain involvement in pediatric hydatid disease is a primary process if delayed diagnosis and insufficient treatment of extraneural hydatidosis are prevented.

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Section: Patients and Resultsmentioning

confidence: 99%

Section: Patients and Resultsmentioning

confidence: 99%

Long-Term Follow-Up and Results of Thirty Pediatric Intracranial Hydatid Cysts: Half a Century of Experience in the Department of Neurosurgery of the School of Medicine at the University of Istanbul (1952–2001)

Önal

Ünal²,

Barlas³

et al. 2001

Pediatr Neurosurg

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“…Secondary hydatid cyst is formed either by spontaneous or surgical regurgitation of a cyst localized in the left ventricle or in large vessels, or traumatic or surgical rupture of the primary hydatid cyst, so tend to be multiple in the brain. 12) In the present case, no hydatid cyst could be identified in organs other than the brain, so the brain was accepted as the primary focus.…”

Section: Discussionmentioning

confidence: 52%

Primary Hydatid Cyst of the Brain During Pregnancy-Case Report-

Yılmaz

Kıymaz

Etlik

et al. 2006

Neurol. Med. Chir.(Tokyo)

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A 26-year-old woman in the 28th week of pregnancy presented with a primary cerebral hydatid cyst manifesting as deteriorating consciousness and weakness in the left arm and leg. Cranial computed tomography revealed an intracranial hydatid cyst. The cyst was surgically removed and albendazole was administered. The patient had a spontaneous vaginal term delivery and no problem was observed in the mother or child. No primary focus was found in the lungs, liver, and other organs. Hydatid cyst is still an important disease. Intracranial hydatid cyst without primary foci in organs such as the liver and lungs is very rare. Primary cerebral hydatid cyst during pregnancy can be successfully treated by surgical and medical intervention.

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“…[6] Wani et al reported on 5 pediatric patients with supratentorial hydatid cyst aged between 8 and 13 years on whom they had performed emergency surgery because of neurological worsening. [7] Emergency surgery for intracranial hydatid cyst was reported in 7 cases in which it was supratentorial [7][8][9][10][11][12][13] and 2 in which it was infratentoria l [14,15] ( Table 1). These cases were notable because they consist of 7 pediatric and 2 adult patients; the present case was also an adult patient.…”

Section: Discussionmentioning

confidence: 99%

Emergency Surgical Treatment in Primary Cerebral Hydatid Cyst: A Case Report and Review of the Literature

Karaaslan¹

2017

South Clin Ist Euras

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Hydatid cyst accounts for 3% to 4% of all intracranial lesions. The initial diagnosis is typically based on clinical suspicion, usually with a patient history of having traveled to a region where it is endemic or living in contact with cattle or dogs, and the diagnosis is confirmed with serological tests and imaging. Emergent surgery for cerebral hydatid cyst without first obtaining magnetic resonance image has also been reported in the literature. Presently described is a case of a 22-year-old patient who presented with symptoms of intracranial pressure and neurological deterioration diagnosed as primary cerebral hydatid cyst, and a review of the literature.

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Three Unusual Cases of Intracranial Hydatid Cyst in the Pediatric Age Group

Cited by 36 publications

References 23 publications

Long-Term Follow-Up and Results of Thirty Pediatric Intracranial Hydatid Cysts: Half a Century of Experience in the Department of Neurosurgery of the School of Medicine at the University of Istanbul (1952–2001)

Long-Term Follow-Up and Results of Thirty Pediatric Intracranial Hydatid Cysts: Half a Century of Experience in the Department of Neurosurgery of the School of Medicine at the University of Istanbul (1952–2001)

Primary Hydatid Cyst of the Brain During Pregnancy-Case Report-

Emergency Surgical Treatment in Primary Cerebral Hydatid Cyst: A Case Report and Review of the Literature

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