Intracranial Hydatid Cyst Research Articles

Giant intracranial primary hydatid cyst.

Giant intracranial primary hydatid cyst.

A rare entity of primary hydatid cyst located between the two laiers of the intracranial dura in a child: a case report

Background: Hydatid disease is a parasitic infection caused by the tapeworm Echinococcus granulosus. Intracranial hydatid cysts are rare and account for less than 3% of all cases of hydatid disease. Typically, these cysts are found in the intracerebral spaces. However, this study presents an extremely rare intradural hydatid cyst. Case Presentation: This study presents the case of an 8-year-old boy presented with a 3-month history of headache and vomiting without any neurological deficit. Full radiological investigations were performed, and only brain magnetic resonance imaging showed a large cerebral hydatid cyst located within the dura layers between the periosteal and the endosteal layers. Surgery was performed without cyst rupture, confirming the intracerebral intradural location. Conclusion: Early diagnosis and treatment for intracranial hydatid cysts are crucial to prevent complications such as neurological deficits, seizures, and even death. In this case, the intracerebral intradural location of the cyst is extremely rare.

A rare entity of primary hydatid cyst located between the two laiers of the intracranial dura in a child: a case report

Background: Hydatid disease is a parasitic infection caused by the tapeworm Echinococcus granulosus. Intracranial hydatid cysts are rare and account for less than 3% of all cases of hydatid disease. Typically, these cysts are found in the intracerebral spaces. However, this study presents an extremely rare intradural hydatid cyst. Case Presentation: This study presents the case of an 8-year-old boy presented with a 3-month history of headache and vomiting without any neurological deficit. Full radiological investigations were performed, and only brain magnetic resonance imaging showed a large cerebral hydatid cyst located within the dura layers between the periosteal and the endosteal layers. Surgery was performed without cyst rupture, confirming the intracerebral intradural location. Conclusion: Early diagnosis and treatment for intracranial hydatid cysts are crucial to prevent complications such as neurological deficits, seizures, and even death. In this case, the intracerebral intradural location of the cyst is extremely rare.

Intracranial hydatid cysts: a 20-year experience.

Intracranial hydatid cysts: a 20-year experience.

Temporoparietal Brain Hydatid Cyst in an Eight-Year-Old Child: A Rare Case Report

Hydatidosis is a parasitic disease caused byEchinococcus granulosus, which affects children in many different parts of the world. It commonly affects the lungs and the liver of the children. Brain hydatidosis is an extremely rare clinical condition in the pediatric population, presenting with non-specific symptoms and signs. The diagnosis of intracranial hydatid cysts can be established by brain magnetic resonance imaging and histopathological examination of the specimen. Here, we report an 8-year-old female child diagnosed with a temporoparietal brain hydatid cyst. Brain magnetic resonance imaging showed a thin-walled cystic lesion located in the right temporoparietal lobe with significant mass effect and midline shift, with no abnormal wall or solid enhancement, and no surrounding edema. The diagnosis of brain temporoparietal hydatid cyst was made radiologically. The patient was operated on and the cyst was completely removed without rupture. The removed cyst was sent for histopathological examination; the histological sections showed a laminated acellular cyst wall with a nucleated germinal layer and no protoscolices, and the diagnosis of temporoparietal brain hydatid cyst was confirmed. The patient had a smooth postoperative course, started albendazole therapy, and was discharged with improvement.

A Giant Primary Intracranial Hydatid Cyst

A Giant Primary Intracranial Hydatid Cyst

A Giant Primary Intracranial Hydatid Cyst

A Giant Primary Intracranial Hydatid Cyst

A Giant Primary Intracranial Hydatid Cyst

Background: Hydatid disease is a parasitic disease caused by the larval stage of Echinococcus granulosus. It’s commonly affects the liver and lungs but can rarely affect the brain. Case presentation: A 5-year-old boy from a rural area with no pathological history was admitted to pediatric emergency for sudden decreased level of consciousness with right‑sided hemiparesis and intermittent vomiting. On Physical examinations, he was disoriented with bilateral papilledema and right‑sided hemiparesis. Brain CT scan revealed a large cystic lesion in the left fronto‑parietal region with mass effect. There was no contrast enhancement , suggestive of hydatid cyst. Radiological investigations of thorax and abdomen disclosed no evidence of hydatid disease. The patient underwent craniotomy and the lesion was removed by irrigating saline between cyst wall and brain interface. Pathological examination confirmed hydatid cysts. Immediate improvement of the symptoms was observed and the patient was discharged on albendazole for 3 months. Conclusion: The incidence of primary hydatid cyst of brain is very rare. The CT and MRI are the best diagnostic investigation and surgery extirpation of the intact cyst is the treatment of choice, resulting in complete recovery.

An unusual case report on intracranial hydatid cyst with intraventricular extension

BackgroundWe report an interesting case of a primary isolated intraventricular and intracranial hydatid cyst in 20-year-old female that mimicked bleeding cystic tumor presenting as intraventricular hemorrhage with hydrocephalus.Case presentationPatient presented with headache and giddiness for 1 month. On magnetic resonance imaging, there was multiloculated multi-cystic lesion in left lateral ventricle and adjacent left periventricular deep white matter. Lesion was causing compression of the body of the left lateral ventricle with temporal horn dilatation and midline shift of 17–18 mm toward right side. On investigation, it was diagnosed intracranial hydatid cyst with intraventricular extension. Patient underwent complete removal of cerebral hydatid cyst. Follow-up postoperative computed tomography scan done which revealed no residual hydatid cyst.ConclusionIn this case, larvae of echinococcus might have passed through capillaries of liver and lungs and entered systemic circulation reaching brain. Intracerebral hydatid cysts are rare and hence, dangerous if the diagnosis and treatment is not prompt. Intracerebral hydatid cysts have slow growth rate with late-stage symptoms, morbidity and mortality are high. So, take home message is whenever intracranial cystic lesion are found on magnetic resonance imaging hydatid cyst with possible intracranial extension should be considered in differential diagnosis.

Intracranial hydatid cysts: a report on 16 cases

AimTo describe the epidemiological and clinical criteria of those patients with rare intracranial cysts.BackgroundCentral nervous system (CNS) hydatid cysts are a rare presentation of hydatid cyst, although may be the cause of intracranial space-occupying lesions in 4% in endemic countries. It affects mostly children. The diagnosis of CNS hydatid is still problematic despite the advancements in imaging techniques (computed tomography or MRI). Extirpation of the intact cyst is the treatment of choice, resulting in most cases to a complete recovery.Patients and methodsA retrospective descriptive study was conducted on the CNS hydatid cases operated in our departments between 2011 and 2016. A total of 16 cases were included. For each case, we reviewed the presenting clinical manifestations and the imaging findings. The Glasgow Outcome Scale was followed for all cases throughout the follow-up period.ResultsOf 16 cases, 12 were children (<12 years). The most presenting findings were increased intracranial pressure. A single cyst was detected for 14 cases, whereas multiple cysts were identified in two cases. Extirpation of the cyst without rupture was achieved in 12 patients. Only two cases developed recurrent hydatid after 3 years. No intraoperative mortality was detected, whereas postoperative mortality occurred in one case owing to anaphylaxis following intraoperative rupture of the cyst.ConclusionSurgical excision of the whole hydatid cyst without rupture is the treatment of choice to avoid the life-threatening complications of CNS hydatid rupture.

Intracerebral giant hydatidosis in an adult woman – A case report

Intracranial hydatid cysts account for 0.5-3% of all the cases of hydatid disease and contribute to 1-2% of all the intracranial space occupying lesions. Rare cases of intracranial hydatid disease have been reported in India. In India, the hydatid disease is more commonly seen in the Kurnool district of Andhra Pradesh, Madurai district of Tamil Nadu and in Punjab. Here we present a case ofa 35-year-old female patient presented to us with diminution of vision, diplopia tempero- frontal lobe which is T1 hypointense and T2 hyperintense measuring 4.5×5.25cms Patient was subjected for surgical excision of cyst. Post operatively patient improved well with no neurological deficits. Histopathology of the lesion confirmed hydatid cyst. Patient was put on oral albendazole 10mg/kg per day and continued for 12 weeks. Patient is on regular follow up with us, with no neurological deficits. and headache since 10 days. Her neurological assessment showed higher mental functions within normal limit and Visual acuity - 6/12 right eye and 6/9 left eye, with normal fundus & right 6th cranial nerve palsy. MRI brain (P+C) done was suggestive of intra-axial well defined cystic lesion in right. Keywords: Intracerebral hydatidosis, Echinococcus, Dowling-Orlando technique, Albendazole

Case Report: Successful Surgical and Medical Management of Primary Intracranial Hydatid Cyst

Case Report: Successful Surgical and Medical Management of Primary Intracranial Hydatid Cyst

Primary Solitary Hydatid Cyst of Brain in a 12-Year-Old Boy: A Case Report

Hydatidosis is a zoonotic disease caused by Echinococcus parasite that frequently involves liver and lungs. Primary intracranial hydatidosis is a rare condition which can be life threatening if ruptured. Here we report an unusual case of primary intracranial hydatid cyst without any other organ involvement, diagnosed in a 12-year-old boy in Emam Reza hospital, Birjand, Iran in November 2016, in order to focus on the importance of proper diagnosis and management, especially in endemic areas.

Hydatid cyst of the quadrigeminal cistern

Intracranial hydatid cyst involves supratentorial area and mainly affecting the middle cerebral artery territory with the predilection of the partial lobe. It can be single - which is the most common - or multiple up to 35 cysts. They tend to be huge at the time of symptomatic presentation especially when they are presented as a solitary lesion with a slow growth rate around 1.5 cm/year, however, it is variable and it can be up to 10 cm/year. Surgical treatment is mandatory for all patients once the correct diagnosis is made, except for patients with multiple organ involvement in poor general conditions and deep-located cysts. The existence of hydatidosis in the cisternal spaces must not be neglected given the capacity of E. granulosus larvae to disseminate via the CSF. In this case report; two and half years’ male child presented with a history of 2 attacks of generalized seizure for the last 72 hours with the head circumference at the upper normal limit for his age. This paper presents the first case report demonstrating a primary single hydatid cyst located in the quadrigeminal cistern in a child. We concluded that in spite of the feasibility of the imaging and the high suspension of cerebral hydatid cyst, still, the reports show more locations which can be described as unusual although for a head to toe suspected distribution of hydatid disease is already understood. An eminent medical and surgical (if indicated) treatment of the primary cerebral hydatid cyst are always effective and recommended.

Intracranial Hydatid Cyst: Removal by Dowling's Technique of Hydrodissection.

Intracranial Hydatid Cyst: Removal by Dowling's Technique of Hydrodissection.

Primary Solitary and Multiple Intracranial Hydatid Cyst Disease: Report of Four Cases

Primary Solitary and Multiple Intracranial Hydatid Cyst Disease: Report of Four Cases

Primer Tek ve Çok Sayıda İntrakraniyal Hidatik Kist Hastalığı: Dört Olgu Raporu

Primer Tek ve Çok Sayıda İntrakraniyal Hidatik Kist Hastalığı: Dört Olgu Raporu

Anesthetic management of a pediatric patient during surgical excision of primary cerebral hydatid cyst

Hydatid cysts develop in humans with the transmission of Echinococcus Granulosus or more rarely Echinococcus Multilocularis. The disease develops in the liver 50-75%, and in the lungs 15-35% of the cases. Intracranial hydatid cyst is seen 0.5-3% of the cases. In this case report, we aimed to present the anesthetic approach and possible anaphylactic reaction in a giant primary intracranial hydatid cyst. A five years and eight months old boy (19 kg, 114 cm) was admitted to the emergency room with complaints of a headache, nausea, vomiting, and deviation of the eyes for about 1 month. Fundus examination revealed bilateral disc elevation and severe papillary edema. Cranial magnetic resonance imaging showed a large hydatid cyst in the right parietal lobe. The patient was scheduled for craniotomy by the neurosurgeons. After induction and endotracheal intubation, 1 mg.kg-1 pheniramine hydrogen maleate and 1 mg.kg-1 methylprednisolone were administered as a protective measure against anaphylaxis. The cyst excised by Dowling method, and no rupture observed. The patient, who did not have any perioperative complication, was extubated and followed in the intensive care unit of neurosurgery department. Cerebral hydatid cyst is rare and usually seen in children. This could be explained by the presence of right-to-left shunts. The gold standard in the treatment of cerebral hydatid cysts is surgical removal. In order to prevent recurrence and anaphylactoid reaction, the cyst should be removed without rupturing it. The hemodynamic changes with cyst rupture are seen milder in the patients receiving prophylactic treatment.

Unruptured Removal of Giant Intracranial Hydatid Cyst in a 6 Year Old Child

Unruptured Removal of Giant Intracranial Hydatid Cyst in a 6 Year Old Child

Epilepsy: Unusual presentation of cerebral hydatid disease in children

Cerebral hydatid disease is very rare, representing only 2% of all cerebral space occupying lesions even in the countries where the disease is endemic. Intracranial hydatid cysts are more common in children and occur more frequently in the supratentorial space. The aim of this paper is to describe the characteristic features of computed tomography (CT) and magnetic resonance imaging (MRI) and to determine the clinical presentation and surgical outcome of cerebral hydatid disease. Medical chart and records were reviewed retrospectively to determine demographic data, clinical findings, morphological assessment, surgical approaches and outcomes. A 7-year-old girl was admitted to the emergency department because of an epileptic attack. On radiological examination, a round, cystic lesion appeared in the parietal lobe and caused shift of the midline structures. The cyst was successfully removed using the Dowling technique. The postoperative period was uneventful and seizures were not seen during follow-up. Hydatid cyst of the brain presents clinically as intracranial space occupying lesion and is more common in children, it is well demonstrated by CT and MR examinations and surgery is the treatment option with affordable morbidity and low mortality.