Abstract
Introduction: Hydatid cyst intracranial is an endemic parasitosis and rare of the order of 1% to 4% of the cases. The calcified cerebral hydatid cyst is even more exceptional, we report a case collected in our service to illustrate the difficulties of diagnosis and the management. We will not discuss the outcome. Case Report: We reported a 22-year-old female which presented to right body, seizures of the type Bravais Jackson with facial participation, headache, dizziness, pre-critical and post critical seizures evolving over a month, and subsequently followed by a heaviness of the right hemi-body responsible for mowing when walking. She was hospitalized for management after performing a CT scan and brain MRI. The surgical treatment consisted of a left parietal flap with a complete excision of a process whose macroscopic appearance first evoked a calcified hydatid cyst confirmed by histology. Conclusion: The cerebral calcified hydatid cyst remains an exceptional pathology with some difficulties in diagnosis and management.
Highlights
Hydatid cyst intracranial is an endemic parasitosis and rare of the order of 1% to 4% of the cases
The calcified cerebral hydatid cyst is even more exceptional, we report a case collected in our service to illustrate the difficulties of diagnosis and the management
Case Report: We reported a 22-year-old female which presented to right body, seizures of the type Bravais Jackson with facial participation, headache, dizziness, pre-critical and post critical seizures evolving over a month, and subsequently followed by a heaviness of the right hemi-body responsible for mowing when walking
Summary
The cerebral localization of the hydatid cyst is rare in the order of 1% to 4% of the cases [1]. Hydatid disease (echinococcosis) is a worldwide zoonosis produced by the larval stage of the Echinococcus tapeworm [2]. The two main types of hydatid disease are caused by Echinococcus granulosus and Echinococcus multilocularis [3]. Calcification is very rare but seen more. Patients with intracranial hydatid cysts usually present with focal neurological deficit and features of raised intracranial pressure; and seizures. The treatment of hydatid cyst is surgical and the aim of surgery is to excise the cyst in totality without rupture to prevent recurrence or anaphylactic reaction [5]. The calcified cerebral hydatid cyst is even more exceptional and not often described in literature. We have to check all the other organs like liver and lung
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