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Pediatric brain hydatid cyst about two cases: Case report
Saad Hmada1, Tarek Mesbahi1, Abdelhamid Jehri1
1Neurosurgery Department, University Hospital Center IBN Rochd, Casablanca, Morocco.
Insights
Two pediatric cases of cerebral hydatid cyst, a rare condition, were successfully treated surgically. Both 5-year-old patients recovered well after the D'ARANA-INIGUEZ hydro pulsion technique and antiparasitic medication.
Area of Science:
- Neurology
- Parasitology
- Pediatric Surgery
Background:
- Cerebral hydatid cyst is a rare parasitic infection of the brain, accounting for approximately 2% of all hydatid cysts.
- It predominantly affects pediatric populations, presenting unique diagnostic and management challenges.
Observation:
- This report details two cases of 5-year-old children diagnosed with cerebral hydatid cysts.
- Clinical presentations included intracranial hypertension syndrome, motor deficits, seizures, and facial palsy.
- Diagnosis was confirmed via brain CT scans, with one patient also undergoing MRI.
Findings:
- Both patients underwent surgical removal of the cysts using the D'ARANA-INIGUEZ hydro pulsion technique.
- Postoperative imaging revealed residual cavities, indicating the complexity of complete cyst eradication.
- All patients received antiparasitic treatment with Albendazole to prevent recurrence.
Implications:
- The D'ARANA-INIGUEZ technique offers a viable surgical option for pediatric cerebral hydatid cysts.
- Multimodal treatment, including surgery and antiparasitic therapy, is crucial for optimal patient outcomes.
- Further research into early diagnosis and long-term management strategies for this rare condition is warranted.
Abstract:
Cerebral hydatid cyst is rare (2%), and mainly affects children. We report 2 cases aged 5 years. The clinical symptomatology was dominated by intracranial hypertension syndrome and motor deficit in both cases. One patient presented a generalized tonic-clonic seizure, the second one presented a left central facial palsy. The diagnosis was made in both cases by brain CT scan and one patient underwent brain MRI. A radiological workup to look for extra-cerebral localization was performed for all patients, which was normal. The treatment was surgical for both patients (D'ARANA-INIGUEZ hydro pulsion technique) with simple after-effects. The postoperative CT scan showed a residual cavity. All our patients were put under antiparasitic treatment with Albendazole.
