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Related Experiment Videos

Brain hydatidosis: report on 117 cases.

M Khaldi1, S Mohamed, J Kallel

  • 1Service de Neurochirugie, Institut National de Neurologie de Tunis, 1007 La Rabla, Tunis, Tunisia. shouissa@netcourrier.com

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|January 11, 2001
PubMed
Summary

Brain hydatid disease, primarily affecting children, requires surgical removal of cysts for effective treatment. Complete cyst extraction is crucial for patient recovery, as medical interventions show limited success.

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Area of Science:

  • Neurology
  • Parasitology
  • Pediatric Medicine

Background:

  • Brain hydatid disease is a parasitic infection caused by Echinococcus granulosus.
  • It predominantly affects children, with a significant number of cases presenting with intracranial hypertension.

Purpose of the Study:

  • To analyze the clinical characteristics, diagnosis, and management of brain hydatid disease.
  • To evaluate treatment outcomes and identify factors influencing recovery.

Main Methods:

  • Retrospective analysis of 155 patients with brain hydatid disease hospitalized between 1965 and 1998.
  • Review of clinical presentations, neuroimaging findings (CT scans), and treatment modalities.

Main Results:

  • The study included 117 children (mean age 7.2 years) with a slight male predominance.

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  • Intracranial hypertension (75%) was the most common symptom, followed by hemiparesis and epilepsy.
  • CT scans showed intra-parenchymal lesions with well-defined margins.
  • Surgical removal was the primary treatment, with complete extraction leading to expected recovery.

    • Conclusions:

    • Surgical hydrostatic expulsion is the definitive treatment for cerebral solitary hydatid cysts.
    • Medical treatment, including albendazole, has limited efficacy, especially in solitary cases.
    • Complete, unruptured cyst extraction is essential for successful patient outcomes.