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A large cerebral hydatid cyst associated with liver cyst
Sevgi Bakaris1, Salih Sahin, Murvet Yuksel
1Department of Pathology, Kahramanmaras Sutcuimam University, Turkey. sevgiba@superonline.com
Annals of Tropical Paediatrics
|January 24, 2004
Summary
Childhood hydatid disease, a significant health concern, can affect the brain and liver. This case highlights successful treatment of a young girl with intracranial and hepatic hydatid cysts using albendazole.
Area of Science:
- Parasitology
- Pediatric Medicine
- Neurology
Background:
- Hydatid disease, caused by Echinococcus granulosus, is endemic in many regions, posing a serious health risk, particularly in childhood.
- The parasite can form cysts in various organs, including the brain and liver, leading to severe clinical manifestations.
Observation:
- An 8-year-old girl presented with neurological symptoms (headache, right arm paresis) and abdominal complaints (pain, distension).
- Imaging revealed a large intracranial hydatid cyst and a hepatic hydatid cyst. Notably, her mother had a history of disseminated hydatid disease.
Findings:
- Surgical removal of the intracranial cyst was performed, alongside subtotal excision of the hepatic cyst.
- Post-operatively, the patient received albendazole treatment.
Implications:
- This case underscores the importance of considering hydatid disease in children presenting with complex neurological and abdominal symptoms, especially in endemic areas.
- Successful management with a combination of surgery and albendazole, leading to full recovery and no recurrence after 12 months, demonstrates an effective therapeutic approach.