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Case Reports
. 2022 May 18:78:103806.
doi: 10.1016/j.amsu.2022.103806. eCollection 2022 Jun.

Pediatric brain hydatid cyst about two cases: Case report

Saad Hmada  1 , Tarek Mesbahi  1 , Abdelhamid Jehri  1 , Abla Jouida  2 , Abdessamad Naja  1 , Naima Amenzoui  2 , Abdelhakim Lakhdar  1
Affiliations
Case Reports

Pediatric brain hydatid cyst about two cases: Case report

Saad Hmada et al. Ann Med Surg (Lond). .

Abstract

Cerebral hydatid cyst is rare (2%), and mainly affects children. We report 2 cases aged 5 years. The clinical symptomatology was dominated by intracranial hypertension syndrome and motor deficit in both cases. One patient presented a generalized tonic-clonic seizure, the second one presented a left central facial palsy. The diagnosis was made in both cases by brain CT scan and one patient underwent brain MRI. A radiological workup to look for extra-cerebral localization was performed for all patients, which was normal. The treatment was surgical for both patients (D'ARANA-INIGUEZ hydro pulsion technique) with simple after-effects. The postoperative CT scan showed a residual cavity. All our patients were put under antiparasitic treatment with Albendazole.

Keywords: Brain; Case report; Echinococcus; Hydatid cyst; Pediatric.

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Conflict of interest statement

The authors of this article have no conflict or competing interests. All of the authors approved the final version of the manuscript.

Figures

Fig. 1
Fig. 1
A brain CT scan was performed, showing a round hypodense intra-parenchymal lesion at the right fronto-temporal-parietal level with an important mass effect on the midline (Fig. 1).
Fig. 2
Fig. 2
A cerebral MRI was performed showing a rounded hypointense lesion in T1, hyperintense in T2 at the right fronto-temporo-parietal level with an important mass effect and subfalcoral involvement in favor of a cerebral hydatid cyst (Fig. 2).
Fig. 3
Fig. 3
An intraoperative image showing the delivery of the hydatid cyst.
Fig. 4
Fig. 4
Image showing the complete removal of the hydatid cyst without its rupture.
Fig. 5
Fig. 5
The control CT scan showing the total removal of the hydatid cyst.
Fig. 6
Fig. 6
A brain CT scan was performed, showing a round hypodense intra-parenchymal lesion at the left fronto-parietal level with an important mass effect on the midline.
Fig. 7
Fig. 7
Image showing the complete removal of the hydatid cyst without its rupture in the second patient.
Fig. 8
Fig. 8
The control CT scan showing the total removal of the hydatid cyst in the second patient.
See this image and copyright information in PMC

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