Cerebral Cystic Echinococcosis: A Child with a Giant Hydatid Cyst

Mohammed    Nooruldeen    Jabbar

doi:10.2174/0250688201999200518121238

Abstract

Aim: Raising awareness of healthcare providers about headache and early morning vomiting in children.

Background: Intracranial cystic hydatid disease (Echinococcosis) is a rare worldwide disease caused by encysted larvae of the dog tapeworm Echinococcus granulosa. Human is the intermediate host of this parasite and CNS involvement occurs in only 3%. Clinically, the cyst causes a seizure, increased intracranial pressure and/or focal neurological deficit. Surgical removal of the intact cyst by the Dowling technique is the treatment. A 4-year-old girl was referred to a neurosurgery clinic with a history of headache and early morning vomiting over the previous 2 months. Neurological examination revealed right hemiparesis and bilateral papilloedema. Emergency brain CT-scan revealed a huge intracranial cystic lesion with midline shift. Emergency craniotomy was done and the cyst was removed intact without complication and sent for histopathological examination. The patient was discharged from the hospital with full recovery.

Keywords: Hydatid Cyst, Tapeworm, Cerebral, Craniotomy, Child, Hemiplegia, Papilledema.

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DOI https://dx.doi.org/10.2174/0250688201999200518121238	Print ISSN 0250-6882
Publisher Name Bentham Science Publisher	Online ISSN 0250-6882

New Emirates Medical Journal

Cerebral Cystic Echinococcosis: A Child with a Giant Hydatid Cyst

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