Multiple Cerebral Hydatid Cysts: A Case Report

Hydatidosis is an endemic disease in Morocco. Intracranial localization is relatively unaccustomed and usually occurs in a solitary form. It is even rarer to find multiple intracranial hydatid cysts. Patients are frequently children and young adults. We report the case of a 22-year-old woman with recurrent multiple cerebral hydatid disease occurring seven years after resection of a primary cyst. She was admitted due to high intracranial pressure and generalized seizures. Brain CT scan showed several intracranial multivesicular cysts in the left parieto-occipital region with localized calcifications. According to the radiological results and patient story, the diagnosis of cerebral hydatidosis was presumed. The patient underwent complete excision of the cysts followed by medical therapy. The parasitological and histological examination of the surgical specimen confirmed the diagnosis. The transient neurological deficit was the only postoperative complication improved, thanks to reeducation in the early phase. The patient was discharged in good condition with no other complications at the follow-up.