Kyste hydatique du foie compliqué d’un accident vasculaire cérébral ischémique: à propos d’un cas

Turki, Olfa; Bahloul, Mabrouk; Chtara, Kamilia; Regaieg, Kais; Haddar, S.; Bouaziz, Mounir

doi:10.11604/pamj.2015.22.355.8108

Cited by 1 publication

(3 citation statements)

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“…The onset of neurological signs occurring simultaneously with peripheral embolism, in the context of suddenly installed allergic skin manifestations, are a solid argument that the rupture of a hydatid cyst caused embolism with anhistous membranes in our patient, ischemia in the right brachial artery and left posterior cerebral artery (stroke being confirmed by CT and MRI) associated with anaphylactic phenomena [ 51 , 62 , 63 , 64 ].…”

Section: Discussionmentioning

confidence: 81%

“…The serologic tests for the management of hydatid disease are important in the long run, in order to detect the recurrence or secondary dissemination after surgery, being especially relevant when the tests revert to positive after being negative for a period of time [ 48 , 49 , 50 , 51 , 52 ].…”

Section: Discussionmentioning

confidence: 99%

“…Embolectomy is recommended in all situations of acute arterial obstruction [ 42 , 43 , 44 , 45 , 46 , 58 , 59 , 60 , 61 , 62 , 63 ]. For better treatment outcomes, surgery should be completed with medical therapy comprising benzimidazole drugs (albendazole +/− praziquantel is considered the standard, aiming for scolicidal and anti-cystic activity) [ 43 , 46 , 47 , 48 , 49 , 50 , 51 , 52 ]. The follow-up to detect the appearance of new lesions is mandatory [ 42 , 57 , 58 , 59 , 60 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Stroke-Associating Acute Limb Ischemia Due to the Rupture of a Hydatid Cyst

Lungu

Oprea

Zaharia

et al. 2023

CIMB

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(1) Background: Hydatidosis, or human cystic echinococcosis, is a zoonotic disease. Endemic in some areas, recently it has an increasing incidence in wider regions, determined by population migration. Clinical features depend on the localization and level of infection: asymptomatic or with signs related to hypersensitivity, organic functional deficiencies, expanding mass effects, cyst infection and sudden death. In rare cases, the rupture of a hydatid cyst causes emboli formation by the residual laminated membrane. (2) Methods: We performed an extensive literature review, starting from the case of a 25-year-old patient presenting with neurologic symptoms relevant for acute stroke, associating right upper limb ischemia. (3) Results: Imaging investigations revealed the source of the emboli as the rupture of a hydatid cyst, the patient presenting multiple pericardial and mediastinal localizations. Cerebral imaging confirmed an acute left occipital ischemic lesion, with complete recovery of the neurological deficit after therapy, while surgery for acute brachial artery ischemia had a favorable postoperative evolution. Specific anthelmintic therapy was initiated. An extensive literature review using available databases revealed the scarcity of data on embolism as a consequence of cyst rupture, highlighting the significant risk of clinicians overlooking this possible etiology. (4) Conclusions: An associated allergic reaction should raise the hypothesis of a hydatid cyst rupture as a cause of any level acute ischemic lesion.

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Section: Discussionmentioning

confidence: 81%