No abstract

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.

Hydatid cyst can occur anywhere from the big toe to the crown of the head as reported by Teymoorian & Bagheri in 1976. It is well documented in medical literature that renal hyadid cysts can be excreted out with urine (Hydatiduria) and pulmonary can be coughed out. Therfore, a hydatid cyst in the colon may theoritcally dispatch and pass out with the stool. We have reported previously the first case of hydatid cyst in the sigmoid colon and we report herein the second case of intraluminal colonic calcified hydatid cyst in a 64-year-old male which discovered incidently during the evaluation of liver hydatidosis.