The complications of cerebral hydatid cyst surgery in children

Tüzün, Yusuf; Solmaz, İlker; Sengul, Goksin; İzci, Yusuf

doi:10.1007/s00381-009-0970-z

Cited by 24 publications

(13 citation statements)

References 22 publications

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“…Intraoperative cyst rupture is a possible event associated with a potentially fatal anaphylactic reaction and a high rate of cyst recurrence [21, 22]. On the other hand, seizures, subdural effusion, porencephalic cyst, hemorrhage, pneumocephalus, hydrocephalus, and focal neurological deficits are the main reported postoperative complications that sometimes need further intervention [23]. Medical therapy is also important.…”

Section: Discussionmentioning

confidence: 99%

Primary Hydatid Cyst of the Brain in a Child: A Case Report

et al. 2016

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SummaryBackgroundPrimary intracranial hydatid cyst is a rare location of human echinococcosis whose spontaneous, traumatic or even iatrogenic rupture, as in case of misdiagnosis, may cause anaphylactic reactions and dissemination.Case ReportWe discuss the management of a 9-year-old boy who was admitted to our Emergency Department with an intracranial hypertension syndrome. Head CT scan and brain MRI showed a huge intra-axial right temporo-parieto-occipital cyst with a marginal calcification, associated with left ventricular uncompensated hydrocephalus. DTI showed displacement of the ipsilateral corticospinal tract, whereas MR spectroscopy showed absence of normal brain metabolites and presence of succinate and lactate within the cyst. A diagnosis of hydatid cyst was then presumed on the basis of the neuroradiological findings. Empiric chemotherapy with albendazole was instituted and surgical en bloc removal of the cyst was obtained, allowing the patient to recover without complications. Diagnosis of brain echinococcosis was confirmed by laboratory tests.ConclusionsHE is still an endemic manifestation in some rural areas of the world, and it should be included in the differential diagnosis of children living in or coming from an endemic country who present with an intracerebral cyst. Early diagnosis and complete surgical removal of the intact cyst are the main factors that determine a favourable outcome.

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Section: Discussionmentioning

confidence: 99%

Primary Hydatid Cyst of the Brain in a Child: A Case Report

et al. 2016

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“…Autopsy studies indicate a burden of disease in all age groups (6). Many cases have been reported with the presence of cysts in the lungs, liver, orbita and nervous system (7)(8)(9)(10)(11). In our study group, causes of admissions varied according to the location of the involved body sites.…”

Section: Discussionmentioning

confidence: 78%

Epidemiological, Laboratory and Clinical Features of Childhood Hydatid Disease

Yildiz¹,

Şen²,

Şahbudak³

et al. 2013

J Pediatr Inf

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Kist hidatik hastalığı Echinococcus ailesine ait barsak solucanının etken olduğu parazitik bir enfestasyondur. Endemik bölgelerde halen önemli morbidite nedenidir ve hayatı tehdit edebilmektedir. Ülkemizde çocukluk çağında da sıklıkla görülebilen bu hastalık nedeniyle uzun süreli ilaç kullanımı gerekli olabilmektedir. Gereç ve Yöntemler: Ege Üniversitesi Çocuk Hastanesi'ne çeşitli yakınmalar ile başvuru sonucu kist hidatik tanısı alan olgular 2009-2011 yılları arasında çalışmaya dahil edilmiştir. Bulgular: Üç yıllık izlem sürecinde toplam 12 olgu (yaşları 6 ile 14 arasında değişen (11±2); 5 kız, 7 erkek olgu) halsizlik, bulantı, kusma, ateş, öksürük, karın ağrısı, sırt ağrısı nedeniyle başvurmuş ya da tesadüfen tanı almıştır. Tam kan sayımında ılımlı eozinofili (490±158/mm 3), ateş yakınması ile başvuran iki olguda (%16) C reaktif protein düzeyinde artış ve lökositoz saptanmıştır. Tüm hastalar Albendazol tedavisi almış olup (10 mg/kg/gün), yedi olgu opere edilmiş, dört olguya (%33) perkutan drenaj (PAIR: puncture, aspiration, injection, re-aspiration) tedavisi uygulanmıştır. Geri kalan iki olgu (%16) için herhangi bir girişim gerekmemiş olup halen izlemleri sürmektedir. Sonuç: Bu çalışma çocukluk çağında kist hidatik hastalık sürecini göstermekte ve tanısal zorluklara dikkat çekmektedir.

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“…Tuzun et al . [ 17 ] retrospectively analyzed 25 pediatric patients who underwent surgery for cerebral hydatid cysts over a 16-year period. The complications related to surgical technique and cyst location were recorded.…”

Section: Discussionmentioning

confidence: 99%

Subdural hydatid cyst presenting as recurrent subdural hygroma

et al. 2016

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Intracranial hydatid disease is an uncommon entity that usually is parenchymal in location. Presence of hydatid cyst in subdural location is being reported for the first time in the literature. A 13-year-old female child with the diagnosis of hydatid disease of brain was operated. She was advised to take albendazole which she did not take. In postoperative period she developed recurrent subdural hygroma for which multiple surgical interventions were done and finally cause of recurrent subdural hygroma was found to be hydatid cyst in the subdural space. The patient had initially undergone craniotomy for the excision of hydatid cyst. Later on she developed subdural hygroma for which the burr hole drainage was done twice. At time of third recurrence subduro-peritoneal (SDP) shunt was done. When she had recurrence again along with hydrocephalus, than VP shunt and revision of the SDP shunt was planned. While doing revision of SDP shunt, hydatid cyst was seen emerging from the burr hole site. A craniotomy was done to remove the hydatid cyst from the subdural space. Since then there has been no recurrent collection. Complete surgical excision is the best treatment modality to treat hydatid cyst of brain. Accidental spillage of the contents can have lead to recurrence, so every effort must be taken to prevent spillage of contents. Postoperatively all the patients must be put on antihelminthics.

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The complications of cerebral hydatid cyst surgery in children

Abstract: The complications following cerebral hydatid cyst surgery in children are various and usually not fatal. When appropriate surgical procedures are planned and carefully applied, the results will be excellent with no mortality.

Cited by 24 publications

References 22 publications

Primary Hydatid Cyst of the Brain in a Child: A Case Report

Primary Hydatid Cyst of the Brain in a Child: A Case Report

Epidemiological, Laboratory and Clinical Features of Childhood Hydatid Disease

Subdural hydatid cyst presenting as recurrent subdural hygroma

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