Abstract
Brain involvement occurs in 2–3% of patients with systemic echinococcosis. Children are most often affected and, in countries where echinococcosis is common, up to 50% of all childhood CNS “tumors” prove to be echinococcal cysts, life saving rapid burr hole aspiration of cyst with total removal of cyst membrane with the use of hypertonic solution as cidal agent with pre and post operative antiprotozoal is very successful procedure in emergency deteriorating patient with brain hydatid.
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