Left ventricular endocardial ecchinococcosis associated with multiple intracranial hydatid cysts

Darwazah, Ahmad K.; Zaghari, Mahmoud; Eida, Mohammed; Batrawy, Mohammed

doi:10.1186/1749-8090-8-104

Cited by 12 publications

(16 citation statements)

References 6 publications

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“…The incidence of intracranial hydatid in India is 0.2% [9]. Cerebral hydatid cysts are more common in the pediatric population, with 80% of the affected patients being children [10,11], and are often attributed to patent ductus arteriosus [6,12]. In our study, children constituted 90% of hydatid brain patients but none had patent ductus arteriosus.…”

Section: Discussionmentioning

confidence: 84%

Pediatric Intracranial Hydatid Cyst: A Case Series with Literature Review

Tanki

Singh²,

Raswan

et al. 2018

Pediatr Neurosurg

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Hydatid disease is an endemic zoonotic disease in many areas of the world. An intracranial hydatid cyst is a relatively rare entity, accounting for only 1–2% of all intracranial space-occupying lesions. Most commonly they are seen in children and young adults. Here, we present 9 cases of pediatric intracranial hydatid cyst operated at Sher-I-Kashmir Institute of Medical Sciences, Srinagar, India, between 2009 and 2015. The mean age of presentation was 11.5 years. The male to female ratio was 5: 4. In 7 cases, a history of contact with pet dogs was present. Seizure was the most common finding, present in 7 cases. Seven patients had solitary cysts and 2 had multiple cysts on presentation. All patients were operated on, and recurrence was observed in 2 patients. The features of this rare disease are retrospectively analyzed in this presentation and the literature is reviewed.

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Section: Discussionmentioning

confidence: 84%

Pediatric Intracranial Hydatid Cyst: A Case Series with Literature Review

Tanki

Singh²,

Raswan

et al. 2018

Pediatr Neurosurg

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“…[7,8] Cardiac echinococcosis is a rare disease with incidence of 0.02-2%.The left ventricle is the most common area affected with incidence of 55-60%, followed by the right ventricle, interventricular septum, left atrium, right atrium and inter atrial septum. [9] The larvae of ecchinococcus granulosus reaches the heart through coronary circulation or pulmonary veins. Contractions of the heart provide a natural resistance to the growth of hydatid causing early rupture of cysts.…”

Section: Discussionmentioning

confidence: 99%

Cerebral hydatid disease: Is it primary or secondary?

Reddy¹,

Gafoor²,

Suresh³

et al. 2017

IJNS

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Indian Journal of Neurosurgery 41 chest X-ray, ultrasound abdomen, and contrast enhanced computed tomography of the brain were done. The chest X-ray showed minimal bronchiectasis in left lower zone of the lung, ultrasound of the abdomen showed multiple unilocular large cystic lesions were present in spleen. Contrast enhanced computed tomography of the brain showed well-defined large unilocular cystic lesions without surrounding edema and contrast enhancement. These cystic lesions were supratentorial, intraaxial noted in parietal periventricular white matter of both cerebral hemispheres with mass effect on lateral ventricles [ Figure 1 a-c] causing mild midline shift to right. With these imaging findings, we suspect hydatid disease involving the brain and spleen. Emergency bilateral parietal craniotomy was done and the five cystic lesions were excised without rupture [ Figure 2a and b] and send for histopathological examination. Patient recovered from unconsciousness and postoperative course was uneventful. Histopathology confirmed these cystic lesions were hydatid cysts without brood capsules and scolex. Usually, hydatid disease of brain present as solitary unilocular cystic lesion involving only one cerebral hemisphere. This unusual bilateral involvement of both cerebral hemispheres with multiple cysts made us to suspect a local source discharging the larvae into the circulation causing atypical involvement of the brain. Two-dimensional cardiac echo was done, which showed a cystic lesion attached to the interventricular septum which was freely communicating with the left ventricular lumen [ Figure 3a and b]. With these imaging findings, we thought myocardial hydatid cyst was primary and involvement of other organs like the spleen and brain were considered secondary due to rupture of this cyst causing widespread dissemination of larvae.

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“…Los quistes secundarios surgen tras la rotura espontánea, traumática o quirúrgica de un quiste primario cerebral, y más raramente por la embolización de un quiste cardíaco que se abre al ventrículo izquierdo 36 . Son los más comunes y suelen ser solitarios.…”

Section: Hidatidosis Cerebralunclassified

“…Son los más comunes y suelen ser solitarios. La presencia de quistes hidatídicos cerebrales múltiples se ha descrito de manera excepcional 36 , y se asocian con la rotura de un quiste primario, ya sea de manera espontánea o durante la cirugía o por un traumatismo craneal. Los quistes hidatídicos intracraneales extradurales son raros 37 .…”

Section: Hidatidosis Cerebralunclassified

Parasitosis del sistema nervioso central: neurocisticercosis, hidatidosis, neuroesquistosomiasis, toxoplasmosis y tripanosomiasis americana

Artal¹

2014

Meningitis, Encefalitis Y Otras Infecciones Del SNC

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Left ventricular endocardial ecchinococcosis associated with multiple intracranial hydatid cysts

Cited by 12 publications

References 6 publications

Pediatric Intracranial Hydatid Cyst: A Case Series with Literature Review

Pediatric Intracranial Hydatid Cyst: A Case Series with Literature Review

Cerebral hydatid disease: Is it primary or secondary?

Parasitosis del sistema nervioso central: neurocisticercosis, hidatidosis, neuroesquistosomiasis, toxoplasmosis y tripanosomiasis americana

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