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

BACKGROUND: Primary 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 REPORT: We discuss the management of a 9-year-old boy who was admitte...

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Autores principales: Imperato, Alessia, Consales, Alessandro, Ravegnani, Marcello, Castagnola, Elio, Bandettini, Roberto, Rossi, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5147683/
https://www.ncbi.nlm.nih.gov/pubmed/27994696
http://dx.doi.org/10.12659/PJR.898619
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author Imperato, Alessia
Consales, Alessandro
Ravegnani, Marcello
Castagnola, Elio
Bandettini, Roberto
Rossi, Andrea
author_facet Imperato, Alessia
Consales, Alessandro
Ravegnani, Marcello
Castagnola, Elio
Bandettini, Roberto
Rossi, Andrea
author_sort Imperato, Alessia
collection PubMed
description BACKGROUND: Primary 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 REPORT: We 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. CONCLUSIONS: HE 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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spelling pubmed-51476832016-12-19 Primary Hydatid Cyst of the Brain in a Child: A Case Report Imperato, Alessia Consales, Alessandro Ravegnani, Marcello Castagnola, Elio Bandettini, Roberto Rossi, Andrea Pol J Radiol Case Report BACKGROUND: Primary 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 REPORT: We 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. CONCLUSIONS: HE 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. International Scientific Literature, Inc. 2016-12-01 /pmc/articles/PMC5147683/ /pubmed/27994696 http://dx.doi.org/10.12659/PJR.898619 Text en © Pol J Radiol, 2016 This is an open access article. Unrestricted non-commercial use is permitted provided the original work is properly cited.
spellingShingle Case Report
Imperato, Alessia
Consales, Alessandro
Ravegnani, Marcello
Castagnola, Elio
Bandettini, Roberto
Rossi, Andrea
Primary Hydatid Cyst of the Brain in a Child: A Case Report
title Primary Hydatid Cyst of the Brain in a Child: A Case Report
title_full Primary Hydatid Cyst of the Brain in a Child: A Case Report
title_fullStr Primary Hydatid Cyst of the Brain in a Child: A Case Report
title_full_unstemmed Primary Hydatid Cyst of the Brain in a Child: A Case Report
title_short Primary Hydatid Cyst of the Brain in a Child: A Case Report
title_sort primary hydatid cyst of the brain in a child: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5147683/
https://www.ncbi.nlm.nih.gov/pubmed/27994696
http://dx.doi.org/10.12659/PJR.898619
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