Abstract
Case report A 10 year old girl was admitted with a history of two episodes of seizures within a period of 6 months associated with tremors and weakness in the left upper and lower limbs. She was treated with phenytoin sodium and dexamethasone, both given orally. On examination, she was conscious, oriented and neurological examination revealed left hemiparesis with motor power grade of 5/6. Her blood investigations and ultrasonography of abdomen were normal. Computed tomography (CT) scan of the brain showed a porencephalic cyst communicating with the right ventricle with a marked midline shift (Figure 1). Magnetic resonance imaging (MRI) of brain showed a well-defined mass lesion 82 x 73 mm in axial, 67 x 68 mm in coronal and 78 x 70 mm in sagittal planes in right parietal basal ganglia area with mass effect and without perilesional vasogenic oedema and without restriction of diffused weighted imaging. Surgical removal of the cyst was done. The cyst ruptured during the course of surgery and for the prevention of anaphylactic reaction, injection chlorpheniramine maleate and injection hydrocortisone were given. The cyst with the contents was successfully removed. The diagnosis of hydatid cyst was established by histopathology.
Highlights
The authors declare that there are no conflicts of interest Personal funding was used for this project
The cyst ruptured during the course of surgery and for the prevention of anaphylactic reaction, injection chlorpheniramine maleate and injection hydrocortisone were given
Intracranial hydatid disease is a rare presentation with reported incidence of 1.2% of all cases of hydatid disease[1,2]
Summary
The authors declare that there are no conflicts of interest Personal funding was used for this project. Magnetic resonance imaging (MRI) of brain showed a well-defined mass lesion 82 x 73 mm in axial, 67 x 68 mm in coronal and 78 x 70 mm in sagittal planes in right parietal basal ganglia area with mass effect and without perilesional vasogenic oedema and without restriction of diffused weighted imaging. Surgical removal of the cyst was done. The cyst ruptured during the course of surgery and for the prevention of anaphylactic reaction, injection chlorpheniramine maleate and injection hydrocortisone were given. The cyst with the contents was successfully removed.
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