Primary intracranial multiple hydatid cysts in an adult

Mahima Sharma,Vandana Sharma,Anuja Sharma,Arvind Khajuria,Anil Sharma

doi:10.4103/2230-8598.161552

Mahima Sharma, Vandana Sharma + Show 3 more

Open Access

https://doi.org/10.4103/2230-8598.161552

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Abstract

Cerebral hydatid disease is an uncommon presentation of echinococcosis representing 1-2% of all Echinococcus granulosus infestations. Most of the cases are seen in children. Primary multiple hydatid disease of the brain in adults is a rare entity. We report here a case of 35-year-old male with primary cerebral hydatid disease without extracranial lesions.

Highlights

Quick response code: Hydatid disease is a worldwide zoonosis produced by the larval stage of the Echinococcus tapeworm.[1]
Magnetic resonance imaging (MRI) of brain with contrast showed the presence of the same lesions and another small lesion in the parietal region of the left cerebral hemisphere [Figure 1]
Hydatid disease is caused by the larval stage of Echinococcus granulosus.[1,2,3]

Summary

INTRODUCTION

Magnetic resonance imaging (MRI) of brain with contrast showed the presence of the same lesions and another small lesion in the parietal region of the left cerebral hemisphere [Figure 1]. A diagnosis of multiple hydatid cysts of the brain involving both cerebral hemispheres was suggested. The patient was planned for elective surgery but patient developed rapid deterioration of higher mental functions. He was admitted and put on steroids, anticonvulsants and was taken for urgent craniotomy after 24 h. No attempt was made to remove the deeper cyst of the right cerebral hemisphere considering the patient’s status peroperatively. To prevent recurrence and to treat the smaller cyst in left cerebral hemisphere, patient was put on long term albendazole and anti-convulsants.

DISCUSSION

Findings

CONCLUSION