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Case Reports
. 2012 Oct 6:2012:bcr2012007240.
doi: 10.1136/bcr-2012-007240.

Multiple cerebral hydatid cysts: have the previous operations contributed to their formation?

Affiliations
Case Reports

Multiple cerebral hydatid cysts: have the previous operations contributed to their formation?

Osama S M Amin. BMJ Case Rep. .
No abstract available

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Figures

Figure 1
Figure 1
Axial T2-weighted brain MRI of the patient. There are multiple cysts of variable sizes and shapes at the right parieto-occipital lobes. They are surrounded by perilesional oedema (black arrow). Three sites of the previous craniectomies can be seen (yellow arrows). Several cysts demonstrate internal septations, reflecting the presence of ‘daughter cysts’. Flow void signals (red arrow) can be observed at the periphery of some cysts indicating calcification. The contents of the cysts have a hyperintense (cerebrospinal fluid-like) signal. The patient was given oral albendazole tablets for 3 months prior to the first operation only; since then, this medication had never been prescribed. Glucocorticoids were administered during the perioperative periods of her two craniectomies.
Figure 2
Figure 2
Coronal T2-fluid attenuation inversion recovery (FLAIR) brain MRI film of the patient. There are right-sided parietal cysts (with internal septae of daughter cysts) surrounded by vasogenic oedema of the white matter. The hyperintense signal content of the cysts (on the T2-weighted film) was ‘suppressed’ on this FLAIR sequence, indicating that these cysts contain a cerebrospinal fluid-like watery fluid. The patient was admitted to the intensive care unit for status epilepticus management; no kind of any neurosurgical intervention was done. She died on day 2.

References

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    1. Krajewski R, Stelmasiak Z. Cerebral hydatid cysts in children. Childs Nerv Syst 1991;7:154–5. - PubMed
    1. Limaiem F, Bellil S, Bellil K, et al. Primary hydatidosis of the central nervous system: a retrospective study of 39 Tunisian cases. Clin Neurol Neurosurg 2010;112:23–8. - PubMed

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