Hydatidose cérébrale

Tlili-Graiess, K.; Elouni, F.; Gharbi-Jemni, H; Arifa, N.; Moulahi, H.; Mrad-Dali, K.; Guesmi, Hind; Abroug, S.; Yacoub, M.; Krifa, H.

doi:10.1016/s0150-9861(06)77288-1

Cited by 27 publications

(42 citation statements)

References 26 publications

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“…La maladie hydatique est une affection parasitaire qui constitue un problème de santé publique dans de nombreux pays d’élevage traditionnel du bétail, dont le Maroc, où elle sévit à l’état endémique [1]. Elle est secondaire à l’infestation de l’organisme par l’embryon hexacanthe de l’Echinococcus granulosus [1, 2].…”

Section: Discussionunclassified

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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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“…La pathologie hydatique est très fréquente au Maroc et au pourtour méditerranéen [1]. La localisation cérébrale est rare, ne représente que 2% environ de toutes les localisations hydatiques de l´organisme et touche surtout l'enfant et l´adolescent [2].…”

Section: Introductionunclassified

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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“…They are showed on CT as lesions with smooth walls and homogenous contents of near-water density. Cerebral hydatidosis is rare form of echinococcosis [11] and is considered as a childhood disease because it affects children eight times more commonly than adults [12]. The most frequent location is the parietal lobe region (territory of the middle cerebral artery).…”

Section: Discussionmentioning

confidence: 99%

“…This is due to the slow growth of the cyst without perifocal oedema [11]. The most common manifestations of the cerebral echinococcosis are headache and vomiting.…”

Section: Discussionmentioning

confidence: 99%

Hydatid Disease with Multiple Organ Involvement: A Case Report

Kojundžić¹,

Dolić²,

Buča³

et al. 2010

Macedonian Journal of Medical Sciences

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We present a case of 34 years old woman with hydatid disease of the lungs, brain and heart but without liver involvement. The disease started in 2006. as pulmonary hydatidosis of the right posterior inferior lobe. In July 2008, brain surgery was performed due to the hydatid disease located on the right temporoparietal region based on computed tomography (CT) and magnetic resonance imaging (MRI). During the postsurgical recovery she complained of dyspnea. Heart ultrasonography and computed tomography showed hydatid cyst located in the left ventricle. Because of the possibility of the multiple organ involvement, we suggest that postoperative follow-up of patients with previous hydatid disease should include chest radiographs, ultrasonography of the heart and even brain CT and/or MRI as standard methods.

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“…CT, MRI and ultrasonography are all useful techniques to localize lesions and may be used to predict the differential diagnosis of the cystic structure [32]. CT usually shows the cysts as intraparenchymal, hypodense, rounded mass lesions without perifocal edema [2,3,33,34]. MRI, including diffusion and spectroscopy, precisely demonstrate location, number, cyst capsule, type of signal and enhancement, which allows diagnosis of atypical or complicated cerebral hydatid disease and appears more helpful in surgical planning [34].…”

Section: Discussionmentioning

confidence: 99%

Unusual Location of Hydatid Cysts in Pediatric Patients

Dağtekin¹,

Koseoglu²,

Kara

et al. 2009

Pediatr Neurosurg

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Objective/Aims: To emphasize the importance of diagnosis and treatment of unusually localized hydatid cysts in pediatric cases. Methods: Hydatid cyst patients of two departments were listed who had undergone surgery between January 2001 and December 2008. Of the 7 pediatric patients, 3 were chosen as the ones with unusual localization. Cyst removal with Dowling’s technique was performed in 2 cases and total removal of the cyst wall was achieved after cyst aspiration in the other patient. Results: Two patients did not show any signs of recurrence. Some of the cranial multiple cysts of the patient who had undergone her first surgery in another clinic with cyst rupture were successfully removed in our clinic. Six months later, she was admitted with spinal seedings. Conclusion: Hydatid cyst removal without rupture should be the surgical goal in all cases. Radiological evaluation is of utmost importance for differential diagnosis. When a cystic lesion is found in the central nervous system on radiological evaluation, hydatid disease must be considered in countries where the disease is endemic and surgery is to be planned emergently especially for pediatric cases with increased intracranial pressure. The study focuses on the strategy for the correct diagnosis and the appropriate treatment of unusually localized hydatid cysts.

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Hydatidose cérébrale

Cited by 27 publications

References 26 publications

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

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

Hydatid Disease with Multiple Organ Involvement: A Case Report

Unusual Location of Hydatid Cysts in Pediatric Patients

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