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Peripontomedullary hydatid cyst: Case report and literature review

Introduction: Hydatid cyst represents the parasitic infection by Genus Echenococcus Granulosis. This disease usually involves liver followed by lungs and rarely the CNS. The CNS involvement by the Hydatid Cyst is present in 1–2% of all hydatidosis. Even when it is found in the Brain it presents usua...

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Autores principales: Alkhotani, Afnan, Butt, Babar, Khalid, Muhammad, Binmahfoodh, Mohammed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6356117/
https://www.ncbi.nlm.nih.gov/pubmed/30710875
http://dx.doi.org/10.1016/j.ijscr.2019.01.003
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author Alkhotani, Afnan
Butt, Babar
Khalid, Muhammad
Binmahfoodh, Mohammed
author_facet Alkhotani, Afnan
Butt, Babar
Khalid, Muhammad
Binmahfoodh, Mohammed
author_sort Alkhotani, Afnan
collection PubMed
description Introduction: Hydatid cyst represents the parasitic infection by Genus Echenococcus Granulosis. This disease usually involves liver followed by lungs and rarely the CNS. The CNS involvement by the Hydatid Cyst is present in 1–2% of all hydatidosis. Even when it is found in the Brain it presents usually in the supratentorial compartment. However this case was unique in having the Hydatid cyst within the infratentorial fossa. With multiple small cysts, causing mass effect and challenging for surgical resection. Presentation: A 44 years female presented with headache, diplobia and bulbar symptoms, followed by ataxia. Full examination, proper investigations showed the peripontomedullary hydatid cysts. Surgical management is illustrated. Discussion: It is still challenging for the neurosurgeons to operate on these lesions in spite of modern technologies and fancy approaches due to its delicate nature, associated risk of allergic reaction, cyst’s material dissemination and irreversible injury of multiple neurological structure due to prolonged compression of cranial nerves crossing the cerebellopontine angle. Conclusion: In this case report we are presenting a rare case of Multiple Hydatid cysts involving a rare location in the brain; peripontomedullary area and extending all the way down to the foramen magnum. Supported with a literature review in relation to disease etiology, epidemiology, clinical presentation and management.
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spelling pubmed-63561172019-02-08 Peripontomedullary hydatid cyst: Case report and literature review Alkhotani, Afnan Butt, Babar Khalid, Muhammad Binmahfoodh, Mohammed Int J Surg Case Rep Article Introduction: Hydatid cyst represents the parasitic infection by Genus Echenococcus Granulosis. This disease usually involves liver followed by lungs and rarely the CNS. The CNS involvement by the Hydatid Cyst is present in 1–2% of all hydatidosis. Even when it is found in the Brain it presents usually in the supratentorial compartment. However this case was unique in having the Hydatid cyst within the infratentorial fossa. With multiple small cysts, causing mass effect and challenging for surgical resection. Presentation: A 44 years female presented with headache, diplobia and bulbar symptoms, followed by ataxia. Full examination, proper investigations showed the peripontomedullary hydatid cysts. Surgical management is illustrated. Discussion: It is still challenging for the neurosurgeons to operate on these lesions in spite of modern technologies and fancy approaches due to its delicate nature, associated risk of allergic reaction, cyst’s material dissemination and irreversible injury of multiple neurological structure due to prolonged compression of cranial nerves crossing the cerebellopontine angle. Conclusion: In this case report we are presenting a rare case of Multiple Hydatid cysts involving a rare location in the brain; peripontomedullary area and extending all the way down to the foramen magnum. Supported with a literature review in relation to disease etiology, epidemiology, clinical presentation and management. Elsevier 2019-01-18 /pmc/articles/PMC6356117/ /pubmed/30710875 http://dx.doi.org/10.1016/j.ijscr.2019.01.003 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Alkhotani, Afnan
Butt, Babar
Khalid, Muhammad
Binmahfoodh, Mohammed
Peripontomedullary hydatid cyst: Case report and literature review
title Peripontomedullary hydatid cyst: Case report and literature review
title_full Peripontomedullary hydatid cyst: Case report and literature review
title_fullStr Peripontomedullary hydatid cyst: Case report and literature review
title_full_unstemmed Peripontomedullary hydatid cyst: Case report and literature review
title_short Peripontomedullary hydatid cyst: Case report and literature review
title_sort peripontomedullary hydatid cyst: case report and literature review
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6356117/
https://www.ncbi.nlm.nih.gov/pubmed/30710875
http://dx.doi.org/10.1016/j.ijscr.2019.01.003
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