Multiple and infected cerebral hydatid cysts mimicking brain tumor: Unusual presentation of hydatid cyst

Lakhdar, F.; Benzagmout, Mohammed; Chakour, Khalid; Chaoui, Mohammed El Faiz

doi:10.1016/j.inat.2020.100802

Cited by 5 publications

(7 citation statements)

References 9 publications

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“…Most of them are case reports of single or few cases. 3 4 8 9 Svrckova et al in their report of three cases mentioned that such cases usually present with raised intracranial pressure or focal deficits but sometimes may present with unusual features like embolic stroke. 4 However, Ramosaço et al reported that these cases may be asymptomatic for a long duration with only vague symptoms and can suddenly deteriorate.…”

Section: Discussionmentioning

confidence: 99%

“…In all the reported cases of multiple hydatids of brain, the mainstay of treatment is antihelminthic therapy along with surgical removal of cysts. However, surgical removal may pose challenges in selected cases where the cysts are deep seated, located inside the ventricles or in presence of calcification 8 9 Svrckova et al in their case emphasized the need for prolonged follow-up and continuing antihelminthic therapy for a long duration in cases where incomplete excision of the cysts was done. 4 Such cases are prone to relapse as was seen in one of their cases.…”

Section: Discussionmentioning

confidence: 99%

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Multiple Primary Bilateral Cerebral Echinococcosis in an Adult: A Neurological Rarity

2022

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Although cases of intracranial hydatid cysts are commonly encountered, majority of them are secondary and are seen in children. Primary bilateral multiple intracranial hydatid cysts in adults are a neurological rarity. Intracranial involvement usually occurs following infestation of the other organs in the body by the pathogen. Multiple lesions in brain can manifest either following rupture of a single parent cyst in brain or by systemic dissemination from other organs. Here, we are presenting an adult patient who underwent successful surgical removal of multiple primary hydatid cysts of brain. A 47-year-old male patient presented with features of raised intracranial pressure and other focal deficits. Magnetic resonance imaging showed multiple cystic lesions on both sides of the cerebrum. Similar primary lesions elsewhere in the body were ruled out by other investigations. He underwent successful surgical removal of all the lesions. Intraoperative picture and histology were suggestive of hydatid cyst. In published literature, there are very few cases similar to ours. Echinococcosis should be considered as a differential diagnosis in multiple cystic lesions of the brain in endemic areas. Early diagnosis, proper surgical technique, and standard antihelminthic drug regimen are the key to achieve good outcome in these patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Multiple Primary Bilateral Cerebral Echinococcosis in an Adult: A Neurological Rarity

2022

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“…Infection within cerebral hydatid cysts remains an extremely rare occurrence and only few cases have been reported previously in the literature [6][7][8][9][10][11]. In 1955, Arana-Iniguez reported the rst case of an infected hydatid cyst with daughter vesicles.…”

Section: Discussionmentioning

confidence: 99%

“…Infection within these cerebral hydatid cysts remains an extremely rare occurrence and only few cases have been reported previously in the literature [6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Primary osteolytic pediatric extradural complicated hydatid cyst revealed by a skull vault swelling: a case report and literature review.

Borni

Abdelmouleh

Tallah

et al. 2023

Preprint

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Hydatidosis is a parasitic infection whose etiological agent is the larva of the cestode Echinococcus granulosus. It is a zoonosis and the human being behaves as an accidental intermediate host in the parasitic cycle. The most frequent clinical presentation is hepatic, followed by pulmonary, with cerebral hydatidosis being extremely rare. Imaging is characteristic, generally dealing with single cystic lesion, usually unilocular and less frequently multilocular, located mainly intraaxially. The primary disease remains extremely rare and its clinical picture is related to the number, size, and location of the lesions. Infection within these cerebral hydatid cysts remains an extremely rare occurrence and only few cases reported previously in the literature. The authors report the nosological review of the clinical, imaging, surgical, and histopathological records of an uncommon primary osteolytic pediatric extradural complicated hydatid cyst in a 5 year-old North African male patient coming from a rural area who presented for progressive onset of a painless left parieto-occipital soft swelling without any neurological disorder with good outcomes after surgery. The authors report this case due the fact that it had not been documented before in the pediatric population and to the success of the specialized treatment.

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“…Cerebral involvement remains rare, represents only about 2% of all hydatid localizations and mainly affects the pediatric population with a male predominance [2]. Extradural hydatid cyst, whether primary or secondary, remains very rare or even exceptional when it is associated with or followed by distinct solitary of multiple intracerebral disseminations [3]. Primary multiple hydatid cyst remains rare and only few cases have been reported so far [4].…”

Section: Introductionmentioning

confidence: 99%

Early postoperative intra-axial dissemination of a pediatric extradural and complicated hydatid cyst

Borni,

Souissi,

Taallah

et al. 2023

Childs Nerv Syst

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Hydatid disease is very common around the Mediterranean basin and endemic in some parts of the world. Cerebral involvement remains rare, represents only about 2% of all hydatid localizations and mainly affects the pediatric population. Extradural hydatid cyst is very rare or even exceptional when it is associated with or followed by intracerebral disseminations.Here, the authors report a new exceptional case of an early multiple intra-axial hydatid dissemination in a 5-year-old North African male patient from a rural area who underwent surgery three months ago after a primary osteolytic extradural and complicated hydatid cyst with good clinical and radiological outcomes.

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Multiple and infected cerebral hydatid cysts mimicking brain tumor: Unusual presentation of hydatid cyst

Cited by 5 publications

References 9 publications

Multiple Primary Bilateral Cerebral Echinococcosis in an Adult: A Neurological Rarity

Multiple Primary Bilateral Cerebral Echinococcosis in an Adult: A Neurological Rarity

Primary osteolytic pediatric extradural complicated hydatid cyst revealed by a skull vault swelling: a case report and literature review.

Early postoperative intra-axial dissemination of a pediatric extradural and complicated hydatid cyst

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