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Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
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[Cerebral hydatid cysts in children: 4 cases]

M Brahem1, K Hlel, A Ayadi

  • 1Service de pédiatrie, CHU Taher-Sfar-Mahdia, 5100 Tunis, Tunisie. ayachi_br_mo@yahoo.fr

Medecine Et Maladies Infectieuses
|August 8, 2006
PubMed

Insights

Cerebral hydatid cysts are rare in children, often presenting with delayed diagnosis of symptoms like headaches and vomiting. Surgical intervention is effective, though complications such as meningitis can occur.

Area of Science:

  • Neurology
  • Parasitology
  • Pediatrics

Background:

  • Cerebral hydatid disease is a rare parasitic infection, accounting for less than 2% of all hydatid cysts and predominantly affecting pediatric populations.
  • Echinococcosis of the brain requires prompt diagnosis and management due to potential neurological sequelae.

Observation:

  • This study reports on four pediatric cases (mean age 9 years) of cerebral hydatid cysts, with a significant delay between symptom onset (headaches, vomiting, seizures) and diagnosis (1-12 months).
  • Cerebral CT scans confirmed the diagnosis in all cases. One patient exhibited concurrent pulmonary and hepatic hydatid cysts, and hydatid blood tests were positive in only one instance.
  • Clinical presentation was progressive, with headaches and vomiting being the most common initial symptoms. One patient experienced a tonic-clonic seizure prior to hospitalization.

Findings:

  • Surgical treatment, utilizing hydropulsion, was performed on all four patients.
  • Two patients underwent uncomplicated surgical procedures.
  • Complications included meningitis in one child and secondary intracranial hypertension (ICHT) requiring puncture due to a residual mass in another.

Implications:

  • This case series highlights the importance of considering cerebral hydatid disease in children with progressive neurological symptoms, even with negative serology.
  • Early and accurate diagnosis via neuroimaging is crucial for effective management.
  • While surgical treatment is generally successful, vigilance for potential complications like meningitis and secondary ICHT is necessary.

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