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Solid cerebral echinococcosis mimicking a primary brain tumor.

K Nanassis1, C Alexiadou-Rudolf, P Tsitsopoulos

  • 1Neurosurgical Clinic, Hippocrateion University Hospital, Thessaloniki, Greece.

Neurosurgical Review
|May 29, 1999
PubMed
Summary

Solitary brain echinococcosis, a rare condition, can mimic brain tumors. This case highlights a chitinoma, a cerebral hydatid disease subtype, presenting as a space-occupying lesion and causing epilepsy.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Radiology

Background:

  • Solitary brain lesions are uncommon manifestations of echinococcosis.
  • Cerebral echinococcosis typically presents as multiple cysts.
  • Differentiating parasitic infections from primary brain tumors is diagnostically challenging.

Observation:

  • A 35-year-old woman presented with grand-mal epilepsy.
  • Imaging revealed a right frontal, partially cystic space-occupying lesion.
  • Pre-operative CT and MRI scans suggested a cystic astrocytoma.

Findings:

  • Histological examination confirmed a 'chitinoma', a rare subtype of cerebral hydatid disease.
  • The lesion mimicked a primary brain tumor, posing a diagnostic dilemma.
  • This case presents the first known MRI scans of a histologically confirmed chitinoma.

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Implications:

  • Chitinoma should be considered in the differential diagnosis of solitary brain lesions, especially in endemic areas.
  • Advanced imaging techniques like MRI are crucial for characterizing brain lesions.
  • Accurate diagnosis of cerebral echinococcosis is vital for appropriate treatment and patient management.