Cerebral hydatid disease

Tüzün, Meriç; Altınörs, Nur; Arda, İrfan Serdar; Hekįmoğlu, Baki

doi:10.1016/s0899-7071(02)00449-7

Cited by 62 publications

(36 citation statements)

References 14 publications

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“…Focal findings such as hemiparesis, speech disorders and hemianopsia, sometimes associated with epileptic seizures, and even coma are also reported in literature [5,6]. In our case, the patient presented the most common symptoms (headache and vomiting) during two The primary hydatid cysts mostly involve the territory of the middle cerebral artery, particularly in the parietal and frontal lobe, and generally cause significant ventricular distortion and midline shift, as in the present case [7]. The correct preoperative diagnosis, formerly arduous, can now be established by CT scan and MRI scan.…”

Section: Discussionsupporting

confidence: 72%

Intracerebral hydatid cyst: A rare cause of neurosurgical emergency

Touzani¹,

Bechri²,

Joulali³

et al. 2016

IJCRI

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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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Section: Discussionsupporting

confidence: 72%

Intracerebral hydatid cyst: A rare cause of neurosurgical emergency

Touzani¹,

Bechri²,

Joulali³

et al. 2016

IJCRI

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“…In patients with CE, central nervous system (CNS) involvement is rare and is seen in nearly 1.6-5.2% of the patients (15,16). In our case series, CNS involvement was seen in only 2 (0.8%) patients.…”

Section: Discussionmentioning

confidence: 53%

Evaluation of Patients with Cystic Echinococcosis

Türkoğlu¹,

Demirtürk²,

Tünay³

et al. 2017

TurkiyeParazitolDerg

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Objective: Cystic echinococcosis (CE) is a globally prevalent zoonotic disease. Methods: Demographic, clinical, laboratory, and follow-up data of patients between May 2009 and 2015 were retrospectively analyzed by screening data from a hospital automation system. Results: A total of 238 (females, n=139 and males, n=99) patients with a mean age of 40.6±20.58 years were included. Less than half (40.8%) of the patients were living in the countryside. Hepatic involvement of CE was most frequently (72.2%) seen. A majority (75.6%) of the patients were symptomatic, but abdominal pain was the most frequently seen symptom. For diagnosis, in all patients, imaging modalities were used, while in 66% of the patients, serological methods were also employed. The patients received both medical and surgical treatments (78.5%, n=187), only surgical treatment (10.5%, n=25), or only medical treatment (8.8%, n=21). Surgical treatment was performed for patients with hepatic (n=139/176, 80.6%), pulmonary (n=78/94, 82.9%), splenic (n=7/9; 77.7%), and mesenteric (n=6/7, 85.1%) cysts, and patients cases with brain, bone, muscle, omentum, bladder, and adrenal cysts had undergone surgical intervention. Conclusion: Publication of regional data is important in terms of epidemiological considerations and may aid in the formulation of standard treatment approaches. En sık tutulan organ karaciğer (%72,2) idi. Hastaların %75,6'sı semptomatik olup en sık görülen semptom karın ağrısı idi. Tanıda tüm hastalarda görüntüleme yöntemine başvurulurken, %66' sında serolojik yöntem de kullanılmıştı. Hastaların % 78,5'i (n=187) hem medikal hem cerrahi tedavi, %10,5'i (n=25) yalnız cerrahi tedavi, %8,8'i (n=21) ise yalnız medikal tedavi almıştı. Karaciğer tutulumu saptanan 173 hastanın %80,6'sına (n=139), akciğer tutulumu saptanan 94 hastanın %82,9'una (n=78), dalakta tutulum saptanan 9 hastanın %77,7' sine (n=7), mesenterde kist saptanan 7 hastanın %85,1'ine (n=6); beyin, kemik, kas, omentum, mesane ve sürrenalde kist saptananların ise tümüne cerrahi uygulandığı tespit edildi. Sonuç: Bölgesel verilerin yayınlanması, epidemiyolojik açıdan önem taşıdığı gibi standart tedavi algoritmalarının oluşturulmasına yardımcı olabilir.

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“…Le kyste hydatique cérébral est souvent unique, (dans notre étude, tous les kystes étaient solitaires); les localisations multiples sont rares et sont généralement la conséquence d’une rupture spontanée ou peropératoire et parfois d’une embolisation massive à partir d’un kyste rompu dans le ventricule gauche [1, 3]. Les calcifications sont extrêmement rares, inférieures à 1% [8]. Les déformations osseuses rencontrées chez l’enfant à type d’amincissement de la voûte et de disjonction des sutures sont le corollaire de la surprenante tolérance liée à l’extensibilité de la boîte crânienne chez l’enfant.…”

Section: Discussionunclassified

Kystes hydatiques cérébraux de l’enfant: à propos de 15 cas

Saqui¹,

Mohamed²,

Benzagmout³

et al. 2017

Pan Afr Med J

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L’objectif de notre étude est d’illustrer l’intérêt de l’imagerie en coupe (TDM, IRM) dans le diagnostic positif et le suivi post-thérapeutique du kyste hydatique cérébral chez l’enfant et de mettre en lumière les particularités et les difficultés rencontrées dans la prise en charge de la localisation cérébrale de cette affection, par notre expérience basée sur 15 cas de kyste hydatique cérébral de l’enfant. Il s’agit d’une étude rétrospective de 15 cas d’hydatidose cérébrale de l’enfant colligés sur une période de 10 ans. La TDM cérébrale en coupes axiales de 5 mm d’épaisseur sans et avec injection de produit de contraste a été réalisée chez 15 patients. L’IRM encéphalique a été réalisée en séquences pondérées en T1 et en T2 chez un patient dans les trois plans de l’espace sans injection de Gadolinium. L’âge moyen de nos patients était de 9 ans. La symptomatologie clinique était dominée par le syndrome d’hypertension intracrânienne. Le kyste hydatique était solitaire et se situait au niveau de l’étage sus-tentoriel avec un important effet de masse sur le système ventriculaire et la ligne médiane dans la majorité des cas. Tous nos patients ont été opérés et l’évolution était favorable dans tous les cas. La TDM représente l’examen de choix pour le diagnostic et le suivi postopératoire du kyste hydatique cérébral. L’IRM trouve son intérêt essentiellement dans le diagnostic des formes multiples et des formes atypiques permettant une planification thérapeutique plus adaptée.Our study aimed to highlight the role of cross sectional imaging techniques (CT, MRI) in positive diagnosis and post-therapeutic follow-up of cerebral hydatid cysts in children as well as to describe the peculiarities and the difficulties encountered in the management of these cysts based on our experience about 15 cases. We conducted a retrospective study of 15 cases of cerebral hydatidosis in children whose data were collected over a period of 10 years. CT scan of the brain with 5 mm slice thickness without and with injection of contrast product was performed in 15 patients. One patient underwent brain MRI creating either T1-weighted or T2-weighted images in all three planes without Gadolinium injection. The average age of patients was 9 years. Clinical symptoms were dominated by intracranial hypertension syndrome. Hydatid cyst was solitary and was located in the supratentorial level with an important mass effect on the ventricular system and the median line in most cases. All patients underwent surgery and patients’ evolution was favorable in all cases. CT scan is the test of choice for the diagnosis and the postoperative follow-up of patients with cerebral hydatid cysts. MRI is used essentially in the diagnosis of multiple and atypical type of cerebral hydatid cysts, enabling the design of more effective treatment strategy.

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Cerebral hydatid disease

Cited by 62 publications

References 14 publications

Intracerebral hydatid cyst: A rare cause of neurosurgical emergency

Intracerebral hydatid cyst: A rare cause of neurosurgical emergency

Evaluation of Patients with Cystic Echinococcosis

Kystes hydatiques cérébraux de l’enfant: à propos de 15 cas

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