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Published on: March 31, 2023
Orbital hydatid cyst in childhood: a report of two cases
Alexandru Vlad Ciurea1, Gambardella Giuseppe, Theofilos G Machinis
1Department of Neurosurgery, Clinic Hospital, Bagdasar-Arseni, Bucharest, Hungary.
Insights
Intraorbital hydatid disease (IHD), a rare condition, was successfully treated in two children using surgical resection and albendazole. Both patients experienced complete symptom resolution and visual recovery.
Area of Science:
- Ophthalmology
- Parasitology
- Neurosurgery
Background:
- Intraorbital hydatid disease (IHD) is an exceptionally rare parasitic infection, accounting for less than 1% of all Echinococcus cases.
- Primary IHD involves the formation of a solitary hydatid cyst within the orbit.
Observation:
- Two pediatric patients presented with nontender, nonpulsatile proptosis, indicative of an orbital mass.
- Diagnostic imaging, including CT and MRI, confirmed a retro-bulbar cyst in both cases.
Findings:
- Surgical resection via a fronto-temporo-orbito-zygomatic (FTOZ) approach was performed for both patients.
- One patient experienced an accidental intraoperative cyst rupture without adverse sequelae.
- Postoperative albendazole treatment for 12 weeks was administered to both children.
Implications:
- This case series highlights the efficacy of surgical management combined with antiparasitic therapy for intraorbital hydatid disease.
- Prompt diagnosis and surgical intervention are crucial for preserving vision and achieving excellent outcomes in pediatric IHD.
- The FTOZ approach provides adequate exposure for complete cyst removal, even in challenging intraorbital locations.
Abstract:
Intraorbital hydatid disease (IHD) is quite rare and represents < 1% of the Echinococcus cases. In our current communication, we report two children with solitary, primary intraorbital hydatid cysts. Both children presented with nontender, nonpulsatile proptosis. Imaging workup, including CT and MRI scans of the head and the orbits, revealed a retro-bulbar cyst in both patients. Surgical resection was performed by employing a fronto-temporo-orbito-zygomatic (FTOZ) approach. Accidental intraoperative rupture occurred in one case with no further consequences. Albendazole was postoperatively employed for 12 weeks. Outcome was excellent in both cases with complete resolution of their symptoms and complete visual recovery. Pertinent literature was reviewed with this opportunity.
