Unusual brain edema caused by an intracranial hydatid cyst: Case report and literature review

Bahloul, K.; Ouerchefani, N; Kammoun, B.; Boudouara, M. Z.

doi:10.1016/j.neuchi.2008.03.008

Cited by 6 publications

(3 citation statements)

References 6 publications

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“…in children and young adults. [ 13 , 23 , 26 , 29 , 30 ] Complete surgical excision is curative. [ 2 , 9 , 13 , 31 , 32 ] As prognosis following excision is good, early diagnosis is crucial [ 7 ] Incomplete excision and rupture at the time of surgery with spillage are the most common causes of recurrence and poor outcome.…”

Section: Discussionmentioning

confidence: 99%

Hydatid disease of central nervous system, a clinicopathological study of 33 cases

Din

Raza

Rahim

et al. 2023

JNRP

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Objectives: Involvement of central nervous system (CNS) by Hydatid cyst is rare comprising 0.5–4% of all hydatid cysts and principally affecting those younger than 20 years, giving rise to cystic masses mostly in the cerebral hemispheres. To report the clinicopathological findings of CNS hydatid cysts, we diagnosed and review the findings of the previous studies. Materials and Methods: All cases reported in our Section between January 1, 2001, and June 30, 2022, were included in the study. By searching our files, cases were retrieved, and diagnosis was confirmed. Follow-up was received on telephone. Ethical exemption was obtained. Results: Thirty-three cases were diagnosed. Almost all were received from rural areas. There were 17 females and 16 males. Mean and median age were 20 and 19 years, respectively. Over 60% were younger than 20 years of age. All 33 involved the cerebral and cerebellar hemispheres. Seventy six percent were supratentorial while 24% were infratentorial. The most common signs and symptoms included weakness, headaches, and seizures. All appeared as solitary cystic masses on imaging. Almost 67% were clinically suspected to be hydatid cysts. Grossly, thin-walled transparent unilocular or multilocular cysts filled with viscous material were received intact in 52% and in multiple pieces in 48% cases. Intact cysts measured 7 cm on average. All demonstrated typical histology. Of the nine patients whose follow-up was available, one died from unspecified acute surgery related complications. Four patients were asymptomatic at the time of follow-up, whereas four developed recurrent cysts. All eight received albendazole therapy. Conclusion: Cerebellum/posterior fossa location was common. Several cases were received in multiple pieces with increased risk of recurrence. Clinicopathological features were similar to those reported in literature. This series will hopefully serve to increase awareness regarding CNS hydatid disease.

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Section: Discussionmentioning

confidence: 99%

Hydatid disease of central nervous system, a clinicopathological study of 33 cases

Din

Raza

Rahim

et al. 2023

JNRP

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“…Variant locations of hydatid cyst were reported in the literature including aqueduct of Sylvius (16), Frontal lobe associated with massive edema and raise in the intracranial pressure (17), temporal lobe with midbrain herniation. 18Thalamic hydatid cyst was managed surgically through the transcallosal approach in a child who presented with left-sided weakness.…”

Section: Discussionmentioning

confidence: 99%

Hydatid cyst of the quadrigeminal cistern

Abdelrazaq¹,

Ramadan²,

Dolachee³

et al. 2019

roneuro

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Intracranial hydatid cyst involves supratentorial area and mainly affecting the middle cerebral artery territory with the predilection of the partial lobe. It can be single - which is the most common - or multiple up to 35 cysts. They tend to be huge at the time of symptomatic presentation especially when they are presented as a solitary lesion with a slow growth rate around 1.5 cm/year, however, it is variable and it can be up to 10 cm/year. Surgical treatment is mandatory for all patients once the correct diagnosis is made, except for patients with multiple organ involvement in poor general conditions and deep-located cysts. The existence of hydatidosis in the cisternal spaces must not be neglected given the capacity of E. granulosus larvae to disseminate via the CSF. In this case report; two and half years’ male child presented with a history of 2 attacks of generalized seizure for the last 72 hours with the head circumference at the upper normal limit for his age. This paper presents the first case report demonstrating a primary single hydatid cyst located in the quadrigeminal cistern in a child. We concluded that in spite of the feasibility of the imaging and the high suspension of cerebral hydatid cyst, still, the reports show more locations which can be described as unusual although for a head to toe suspected distribution of hydatid disease is already understood. An eminent medical and surgical (if indicated) treatment of the primary cerebral hydatid cyst are always effective and recommended.

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“…Для эхинококкоза характерна крупная однокамерная тонкостенная киста ликворной плотности (низкоинтенсивный сигнал на Т1-взвешенных изображениях и высокоинтенсивный на Т2-взвешенных изображениях) без перифокального отека [3,6,24]. В редких случаях наблюдается перифокальный отек [29]. Некоторые авторы объясняют появление перифокального отека инфицированием и воспалением паразитарной кисты [7,17].…”

Section: диагностикаunclassified

Echinococcosis and alveococcosis of the brain in the practice of a neurosurgeon (a review literature and clinical cases)

Shnyakin

Rudenko

Botov

et al. 2023

Sibirskij nauchnyj medicinskij zhurnal

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The article presents an overview of modern scientific publications on echinococcosis and alveococcosis of the brain, which occur in 1–4 % of cases among all volumetric formations of the central nervous system. Despite the fact that these parasitic diseases are more common in endemic areas of developing countries in Asia, South America, Australia and New Zealand, isolated clinical cases are observed everywhere, including due to population migration, and they must bedifferentiated, first of all, from intracerebral cysts, abscesses, cystic tumors. Clinical manifestations of echinococcosis and alveococcosis of the brain include the development of hypertensive symptoms, focal neurological deficit, convulsive syndrome (with cortical localization of cysts). The article presents the modern possibilities of diagnostic methods (among which the main role is played by neuroimaging methods, such as multislice computed tomography and magnetic resonance imaging using contrast/paramagnet), and surgical and medical treatment of patients with echinococcosis and alveococcosis of the brain. The article also describes two own clinical observations of patients who were hospitalized in the neurosurgical department of the Regional Clinical Hospital (Krasnoyarsk).

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Unusual brain edema caused by an intracranial hydatid cyst: Case report and literature review

Cited by 6 publications

References 6 publications

Hydatid disease of central nervous system, a clinicopathological study of 33 cases

Hydatid disease of central nervous system, a clinicopathological study of 33 cases

Hydatid cyst of the quadrigeminal cistern

Echinococcosis and alveococcosis of the brain in the practice of a neurosurgeon (a review literature and clinical cases)

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