International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. Hydatid cyst disease in childhood is still a serious health problem in the rural areas of Morocco and other places where the parasite is endemic. Brain involvement rate is about 2% of the cases and is most commonly observed in children. Case Report: We report the case of a five-year-old boy who presented with general weakness and vomiting before rapid deterioration of consciousness, requiring an urgent operation as there were signs of midbrain herniation with a cystic lesion in the left frontoparietal region at the Computed tomography scan. The patient was discharged after one week with optimal neurological status. Although cases of cerebral hydatid disease are quite common in literature, the urgent character of our case is rarely reported and will be discussed in the light of previous cases as well as cerebral hydatid disease management. Conclusion: In case of emergencies, such as midbrain herniation with cystic lesions identified by CT scan, the possibility of hydatid cysts should be considered where the infection is endemic and the team should be prepared to remove the cyst without rupture.

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Le Pneumothorax spontané est défini par un épanchement gazeux de la grande cavité pleurale en dehors de tout traumatisme ou manipulation instrumentale. Son incidence est estimée à 28/100000 pour les hommes et 6/100000 pour les femmes. Les étiologies sont dominées par la broncho-pneumopathies chroniques et obstructives. Le tableau clinique est souvent grave d'emblé nécessitant une exsufflation à l'aiguille et/ou un drainage thoracique. Les récidives sont assez fréquentes et la mortalité reste assez élevée en comparaison avec les pneumothorax post traumatique ou les pneumothorax primaires. Nous rapportons le cas d'une patiente présentant en post opératoire un pneumothorax spontané sur un poumon métastatique et compliquant une paralysie récurrentielle.

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