Infected or complicated hydatid case mimicking a primary brain tumor

Turgut, Ahmet Tuncay; Turğut, Mehmet

doi:10.1007/s10143-002-0205-1

Cited by 6 publications

(5 citation statements)

References 6 publications

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“…On her control MR image the spinal cord appeared decompressed, and sagittal balance was recovered. 1,5,31,32 In our case, histopathological examination yielded no findings to support the presence of tuberculosis. The patient is cur-rently in her 3rd year of treatment, and although there is a residual lesion (Fig.…”

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confidence: 72%

Spinal hydatidosis accompanied by a secondary infection

Kotıl¹,

Tatar

Bılge³

2007

SPI

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✓Spinal hydatid disease is rarely encountered in nonendemic regions. It is a progressive disease that is associated with risks of serious morbidity. The authors report a case of an isolated primary hydatid cyst of the spine in a 34-year-old woman who presented with back pain, which had lasted for 3 months, as well as lower-extremity pain and fatigue, which had persisted for 2 months. A neurological examination yielded findings indicative of upper motor neuron involvement with complete sensory loss below the level of T-11. Magnetic resonance imaging of the spine showed multiple extradural cystic lesions with an abscess formation at T-11 and involvement of the paraspinal muscles. The patient underwent spinal decompression in which stabilization and total excision of the multiple epidural and psoas abscesses and paraspinal multiloculated cysts were performed. The diagnosis of hydatid disease associated with another infection was confirmed by histopathological evaluation. Albendazole was administered during the postoperative period. Previous reports of secondary infections accompanying this disease in extraspinal locations have been published. However, to the best of the authors' knowledge, there have been no publications about a secondary infection associated with hydatidosis in the spinal cord. One should bear in mind that spinal hydatidosis may be accompanied by other infections in endemic regions. Antihelminthic treatment should be administered for a long period following early decompressive surgery and adequate stabilization.

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confidence: 72%

Spinal hydatidosis accompanied by a secondary infection

Kotıl¹,

Tatar

Bılge³

2007

SPI

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“…Characteristically, there were no specific signs and the symptoms varied widely from patient to patient, depending on the location and type of the cystic lesion. Interestingly, 4 patients had been reported as "stroke victims" owing to embolization of echinococcal material [56,57,88,100,101,105] and 3 with the symptoms affecting the extrapyramidal system, as having a "movement disorder" because of the anatomical localizations of the cysts [35,43,47,81,85]. Other diagnostic studies, such as X-ray films, pneumoencephalography, ventriculography, angiography, scintigraphy, and electroencephalography, were used in patients with intracranial hydatid cysts in earlier years.…”

Section: Resultsmentioning

confidence: 97%

“…Another interesting point in this survey is the presence of "infected" or "complicated" hydatid cysts leading to a misdiagnosis of cystic tumor [33,73,101].These solid lesions can be called "chitinomas," for a pathological description of acellular eosinophilic material with focal necrosis. Peripheral irregular, large homogeneous, multiple punctiform, or scattered calcifications are found in the majority of patients [101]. Although it is not easy to disclose the source of infection in these cases, a broad-spectrum antibacterial treatment is advocated for secondary infection.…”

Section: Intracranial Hydatid Cystsmentioning

confidence: 97%

“…Similarly, long-term antiepileptic therapy is required if the patient has a history of preoperative convulsions [70,99]. Another interesting point in this survey is the presence of "infected" or "complicated" hydatid cysts leading to a misdiagnosis of cystic tumor [33,73,101].These solid lesions can be called "chitinomas," for a pathological description of acellular eosinophilic material with focal necrosis. Peripheral irregular, large homogeneous, multiple punctiform, or scattered calcifications are found in the majority of patients [101].…”

Section: Intracranial Hydatid Cystsmentioning

confidence: 97%

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Hydatidosis of central nervous system and its coverings in the pediatric and adolescent age groups in Turkey during the last century: a critical review of 137 cases

Turğut

2002

Child's Nervous System

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Despite the inherent limitations, this type of study indicates that the incidence of hydatidosis has not decreased in Turkey in recent years. The clinical findings were mostly atypical, and it was interesting that 4 patients were described as having cerebrovascular occlusive disease and 3 as having symptoms of movement disorders. Computed tomography and/or MRI techniques were extremely useful, both in reaching the correct diagnosis and for proper surgical management of hydatid disease, because of the absence of a pathognomonic clinical picture of this disease. The treatment of choice for hydatid disease of the CNS and its coverings was complete intact removal of the cyst. In contrast to that in intracranial hydatid cysts, however, surgical intervention was palliative, not curative, in almost all cases of intraspinal hydatidosis. According to this critical review of the literature, CNS hydatidosis is therefore still a life-threatening condition, in spite of all the advances in imaging techniques and therapeutic methods. The most important factors in prognosis are the localization of the focus of infection, rupture and of the cyst and dissemination of its content, and treatment modality. At present, surgical intervention preceded by careful neuroradiological evaluation remains the best surgical therapy, and this plus adjuvant chemotherapy is advocated in some cases as the gold standard for therapy.

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“…An early brain echinococcosis seems to appear neuroradiologically as a well-differentiated tumor [3][4][5] . In this case, the MRI of the brain as well as spectroscopy showed an intraaxial lesion with the characteristics of a low-grade brain tumor.…”

Section: Intracerebral Atypical Presentation Of Echinococcosis In a Cmentioning

confidence: 99%