Stroke: a rare presentation of cardiac hydatidosis

N P Singh1, S K Arora, A Gupta

  • 1Department of Medicine, Maulana Azad Medical College and Lok Navak Hospital, MR Centre, New Delhi, India. nanu_singh@yahoo.com

Neurology India
|July 17, 2003
PubMed

Insights

A pediatric stroke case highlights a rare diagnosis: a hydatid cyst in the heart causing a hemorrhagic infarct. This finding underscores the importance of considering parasitic infections in neurological events.

Area of Science:

  • Neurology
  • Cardiology
  • Parasitology

Background:

  • Pediatric stroke is a significant clinical challenge.
  • Hydatid disease, caused by Echinococcus granulosus, typically affects the liver and lungs.
  • Cardiac involvement is rare, especially in pediatric cases.

Observation:

  • A 13-year-old male presented with acute right-sided hemiparesis.
  • Brain CT revealed a hemorrhagic infarct in the left basal ganglia.
  • Echocardiography identified a hydatid cyst in the right atrium extending to the left atrium.
  • A hepatic hydatid cyst was also noted.

Findings:

  • The patient experienced an acute stroke secondary to a cardiac hydatid cyst.
  • The cardiac cyst was the likely embolic source causing the hemorrhagic infarct.
  • Concurrent hepatic hydatid disease was present.

Implications:

  • This case emphasizes the need to consider parasitic etiologies, such as hydatid disease, in the differential diagnosis of pediatric stroke.
  • Echocardiography is crucial for diagnosing cardiac hydatid cysts.
  • Prompt diagnosis and management of cardiac hydatidosis are vital to prevent embolic events and neurological complications.

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