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  11. Clinical Presentation, Management And Outcome Of Cerebral Echinococcosis In Children: A Systematic Review And Meta-analysis

Clinical Presentation, Management and Outcome of Cerebral Echinococcosis in Children: A Systematic Review and Meta-Analysis

Roberta Leonardi1,2, Alessandra Curatolo3, Manuela Lo Bianco4

  • 1Postgraduate Training Program in Pediatrics, University of Catania, 95125 Catania, Italy.

Pathogens (Basel, Switzerland)
|November 27, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Pediatric cerebral echinococcosis diagnosis and treatment have improved outcomes. Advances in imaging and albendazole therapy are key, though more research is needed for specific guidelines.

Area of Science:

  • Neurology
  • Parasitology
  • Pediatrics

Background:

  • Cerebral echinococcosis is a rare but severe parasitic infection in children.
  • It can cause serious complications like intracranial hypertension and neurological deficits.

Purpose of the Study:

  • To systematically review and analyze diagnostic and therapeutic approaches for pediatric cerebral echinococcosis.
  • To evaluate treatment outcomes in affected children.

Main Methods:

  • A systematic literature search was conducted across PubMed, Scopus, and Web of Science.
  • 100 studies involving 462 pediatric patients were included, analyzing clinical, imaging, surgical, and pharmacological data.
  • Statistical analyses were performed using Fisher's exact and chi-square tests in R.
Keywords:
cerebral echinococcosisechinococcosishydatic cystspediatric echinococcosis

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Main Results:

  • High-resolution imaging, particularly MRI, is now preferred over invasive diagnostics, correlating with better outcomes.
  • Surgical cyst removal is the primary treatment, with albendazole therapy showing a higher probability of good outcomes (p < 0.001).
  • Common symptoms include headaches, vomiting, papilledema, seizures, and hemiparesis. Mortality was 8.9%, with approximately 2/3 achieving good outcomes.

Conclusions:

  • Improvements in non-invasive imaging, surgical techniques, and antiparasitic therapies have enhanced patient outcomes.
  • Limited evidence and heterogeneous reporting necessitate further multicenter studies for pediatric-specific guidelines.
  • Refining treatment strategies and developing standardized guidelines are crucial for managing pediatric cerebral echinococcosis.
pediatric neuroparassitosis