Abstract
This paper presents the case of a 13-year-old female patient, operated in 2015 for left temporoparietal hydatid cyst and reoperated in 2016 for recurrence of the cerebral hydatid cyst. At admission, his GCS scores were E3V4M5. Neurological examination revealed a hemilatéral motor deficit estimated at 3/5 on right side without sensitive trouble. The CT scan showed a large left temporal cystic formation with an infected appearance associated with 4 cystic formations with calcified walls exerting a mass effect on the adjacent parechyma and the homolateral lateral ventricle responsible for a triventricular hydrocephalus. No primary focus was found in the lungs, liver, or other organs. In this article, we will discuss the management of complications related to hydatid cysts. Cerebral hydatid cyst is a rare condition, affecting mainly children. The diagnosis of cerebral hydatid cyst must be evoked in endemic countries in front of a symptomatology of intra-cranial hypertension.
Highlights
Hydatid disease is very common in Morocco and the Mediterranean region [1]
The CT scan showed a large left temporal cystic formation with an infected appearance associated with 4 cystic formations with calcified walls exerting a mass effect on the adjacent parechyma and the homolateral lateral ventricle responsible for a triventricular hydrocephalus
Other signs may accompany or reveal the hydatid cyst in the brain: neurological deficits such as paresis, or rarely paralysis [5]; generalized tonic-clonic seizures, especially in remodeled forms [6]; behavioral or psychiatric disorders may be present, or even disturbances of consciousness ranging from obnubilation to true coma [7]
Summary
Hydatid disease is very common in Morocco and the Mediterranean region [1]. Cerebral localization is rare, accounting for only about 2% of all hydatid localizations in the body, and mainly affects children and adolescents [1]. European Journal of Medical and Health Sciences www.ejmed.org region, notion of contact with dogs, operated in 2015 for left temporoparietal hydatid cyst and reoperated in 2016 for recurrence of the cerebral hydatid cyst. He was brought by his mother to our emergency for intracranial hypertension syndrome with disorders of consciousness. The cerebral CT scan control showed persistent hydrocephalus and annular contrast in the cavity of the evacuated temporal hydatid cyst. The CT-scan control showed a regression of the hydrocephalus with annular classification of the temporal cyst cavity
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