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Successful Management of a Large Cerebral Hydatid Cyst in a Maasai Child From an Endemic Region: A Case Report

Tumaini Mchihiyo1, Peter Kyombya2, Eric Joseph1

  • 1Department of Neurosurgery Kilimanjaro Christian Medical Centre Moshi Kilimanjaro Tanzania.

Clinical Case Reports
|June 24, 2026
PubMed

Insights

A pediatric patient with a brain cyst caused by Echinococcus granulosus experienced hemiparesis. Surgical removal and antiparasitic treatment led to complete motor recovery, highlighting effective management of this parasitic infection.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Parasitology

Background:

  • Cerebral echinococcosis is a rare but serious parasitic infection.
  • It can present with focal neurological deficits due to cyst mass effect.

Purpose of the Study:

  • To report a case of successful surgical and medical management of a pediatric patient with a large cerebral hydatid cyst.

Main Methods:

  • A 5-year-old girl with progressive hemiparesis underwent imaging, revealing a large frontoparietal cyst.
  • Preoperative antiparasitic therapy was given before PAIR-D Craniotomy and cyst excision.
  • Histopathology confirmed *Echinococcus granulosus* infection.

Main Results:

  • The cyst was successfully removed intact.
  • The patient achieved complete motor recovery post-operatively.
  • Histopathology confirmed the diagnosis of *Echinococcus granulosus*.

Conclusions:

  • Combined surgical resection and antiparasitic treatment (albendazole) are effective for cerebral hydatid cysts.
  • Early diagnosis and intervention can lead to excellent neurological outcomes in pediatric patients.

Keywords:
Dowling's techniqueEchinococcus granulosusMaasaiPAIR‐Dcase reportcerebral hydatidosiscystic echinococcosisendemic diseasepediatric neurosurgery

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