Intra cranial hydatid cyst: A case report of total cyst extirpation and review of surgical technique

Muhammad Sohail Umerani; Asad Abbas; Salman Sharif

doi:10.4103/0976-3147.116445

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Technical note

4 (

Supp 1

); S125-S128

doi:

10.4103/0976-3147.116445

Intra cranial hydatid cyst: A case report of total cyst extirpation and review of surgical technique

Muhammad Sohail Umerani, Asad Abbas, Salman Sharif

Department of Neurosurgery, Liaquat National Hospital and Medical College, Karachi, Pakistan

Address for correspondence: Dr. Muhammad Sohail Umerani Liaquat National Hospital and Medical College National Stadium Road, Karachi - 74800 Pakistan drumerani@yahoo.com

Journal of Neurosciences in Rural Practice

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This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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Abstract

ABSTRACT

Hydatid cysts commonly affect liver and lung but it can also affect the brain in rare cases. We report a case of 22 year female with history of headache for one and half years. Intracranial hydatid cyst was diagnosed on computed tomography scan and magnetic resonance imaging. The cyst was delivered without rupture using hydrostatic dissection followed by post‑operative anthelminthic medication. Surgery remains to be the standard management. Amongst the surgical techniques described, Dowling’s technique is the most acceptable. However, care must be taken in to avoid rupture of the cyst peroperatively which can result in subsequent complications and recurrence. Albendazole and corticosteroids can be used as adjunct to surgical treatment in selective cases.

Keywords

Antihelminthic medication

Craniotomy

Hydrostatic dissection

Intracranial hydatid cyst

Show Related Articles from PubMed

Conflict of Interest

None declared

References

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[1] Budke C. M., Deplazes P, Torgerson P. R., . Global socioeconomic impact of Cystic echinococcosis. Emerg Infec Dis. 2006;12:296-303.
[Google Scholar]

[2] Reddy D. R., . Managing cerebral and cranial hydatid disease. Neurol India. 2009;57:116-8.
[Google Scholar]

[3] Kovoor J. M., Thomas R. D., Chandrashekhar H. S., Jayakumar P. N., Pillai S, Shankar S. K., . Neurohydatidosis. Australas Radiol. 2007;51:406-11.
[Google Scholar]

[4] Andronikou S, Welman C. J., Kader E, . Classic and unusual appearances of hydatid disease in children. Pediatr Radiol. 2002;32:817-28.
[Google Scholar]

[5] Dahniya M. H., Hanna R. M., Ashebu S, Muhtaseb S. A., el-Beltagi A, Badr S, et al . The imaging appearances of hydatid disease at some unusual sites. Br J Radiol. 2001;74:283-9.
[Google Scholar]

[6] Cavusoglu H, Tuncer C, Ozdilmaç A, Aydin Y, . Multiple intracranial hydatid cysts in a boy. Turk Neurosurg. 2009;19:203-7.
[Google Scholar]

[7] Kayaoglu C. R., . Giant hydatid cyst in the posterior fossa of a child: A case report. J Int Med Res. 2008;36:198-202.
[Google Scholar]

[8] Gana R, Skhissi M, Maaqili R, Bellakhdar F, . Multiple infected cerebral hydatid cysts. J Clin Neurosci. 2008;15:591-3.
[Google Scholar]

[9] Salehi M, Soleimani A, . Cardiac echinococcosis with negative serologies: A report of two cases. Heart Lung Circ. 2009;18:59-61.
[Google Scholar]

[10] Anvari M, Amirjamshidi A, Abbassioun K, . Gradual and complete delivery of a hydatid cyst of the brain through a single burr hole, a wrong happening! Childs Nerv Syst. 2009;25:1639-42.
[Google Scholar]

[11] Ergun R, Okten A. I., Yuksel M, Gül B, Evliyaoðlu C, Ergüngör F, et al . Orbital hydatid cysts. Report of four cases. Neurosurg Rev. 1997;20:33-7.
[Google Scholar]

[12] Polat P, Kantarci M, Alper F, Suma S, Koruyucu M. B., Okur A, . Hydatid disease from head to toe. Radiographics. 2003;23:475-94.
[Google Scholar]

[13] Ciurea A. V., Fountas K. N., Coman T. C., Machinis T. G., Kapsalaki E. Z., Fezoulidis N. I., et al . Long-term surgical outcome in patients with intracranial hydatid cyst. Acta Neurochir (Wien). 2006;148:421-6.
[Google Scholar]

[14] Khaldi M, Mohamed S, Kallel J, Khouja N, . Brain hydatidosis: Report on 117 cases. Childs Nerv Syst. 2000;16:765-9.
[Google Scholar]

[15] Braham E, Bellil S, Bellil K, Chelly I, Mekni A, Haouet S, et al . Hydatid cyst of the posterior fossa. Med Mal Infect. 2007;37:281-3.
[Google Scholar]

[16] Ravalji M, Kumar S, Shah A. K., Vaghela D. U., Makwana G. J., Singh K, . CT and MRI features of the typical and atypical intracranial hydatid cysts: Report of five cases. Indian J Radiol Imaging. 2006;16:727-32.
[Google Scholar]

[17] Turgut M, . Intracranial hydatidosis in Turkey: Its clinical presentation, diagnostic studies surgical management, and outcome. A review of 276 cases. Neurosurg Rev. 2001;24:200-8.
[Google Scholar]

[18] El-Shamam O, Amer A, El-Atta M. A., . Magnetic resonance imaging of simple and infected hydatid cysts of the brain. Magn Reson Imaging. 2001;19:965-74.
[Google Scholar]

[19] Bukte Y, Kemaloglu S, Nazaroglu H, Ozkan U, Ceviz A, Simsek M, . Cerebral hydatid disease: CT and MR imaging findings. Swiss Med Wkly. 2004;134:459-67.
[Google Scholar]

[20] Al Zain T. J., Al-Witry S. H., Khalili H. M., Aboud S. H., Al Zain F. T., . Multiple intracranial hydatidosis. Acta Neurochir (Wien). 2002;144:1179-85.
[Google Scholar]

[21] Yurt A, Avci M, Selçuki M, Ozer F, Camlar M, Uçar K, et al . Multiple cerebral hydatid cysts. Report of a case with 24 pieces. Clin Neurol Neurosurg. 2007;109:821-6.
[Google Scholar]

[22] Yasha T. C., Shibu P, Srikanth S. G., Shankar S. K., . 13-year old boy with cerebellar cystic mass. Neurol India. 2006;54:100-1.
[Google Scholar]

[23] Wani N. A., Kousar T. L., Gojwari T, Robbani I, Singh M, Ramzan A, et al . Computed tomography findings in cerebral hydatid disease. Turk Neurosurg. 2011;21:347-51.
[Google Scholar]

[24] Duishanbai S, Jiafu D, Guo H, Liu C, Liu B, Aishalong M, et al . Intracranial hydatid cyst in children: Report of 30 cases. Childs Nerv Syst. 2010;26:821-7.
[Google Scholar]

[25] Tunaci M, Tunaci A, Engin G, Ozkorkmaz B, Ahishali B, Rozanes I, . MRI of cerebral alveolar echinococcosis. Neuroradiology. 1999;41:844-6.
[Google Scholar]

[26] Izci Y, Tüzün Y, Seçer H. I., Gönül E, . Cerebral hydatid cysts: Techniques and pitfalls of surgical management. Neurosurg Focus. 2008;24:E15.
[Google Scholar]

[27] Carrea R, Dowling E, Guevera A, . Surgical treatment of hydatid cysts of the central nervous system in the paediatric age (Dowling’s technique) Childs Brain. 1975;1:4-21.
[Google Scholar]

[28] Altýnörs N, Bavbek M, Caner H. H., Erdoðan B, . Central nervous system hydatidosis in Turkey: A cooperative study and literature survey analysis of 458 cases. J Neurosurg. 2000;93:1-8.
[Google Scholar]

[29] Boop F. A., Jacobs R. F., Young R. L., . Brain abscess and encephalitis in children.Principles and Practice of pediatric Neurosurgery. New York: Thieme; 1999. p. :p. 1203-26. In: editors
[Google Scholar]

[30] Per H, Kumandas S, Gumus H, Kurtsoy A, . Primary soliter and multiple intracranial cyst hydatid disease: Report of five cases. Brain Dev. 2009;31:228-33.
[Google Scholar]

[31] Tuzun Y, Kadioglu H. H., Izci Y, Suma S, Keles M, Aydin I. H., . The clinical, radiological and surgical aspects of cerebral hydatid cysts in children. Pediatr Neurosurg. 2004;40:155-60.
[Google Scholar]

Intra cranial hydatid cyst: A case report of total cyst extirpation and review of surgical technique

Abstract

ABSTRACT

Keywords

Antihelminthic medication

Craniotomy

Hydrostatic dissection

Intracranial hydatid cyst

Conflict of Interest

References

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