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Multiple infected extradural parasellar hydatid cysts

S Behari1, D Banerji, R V Phadke

  • 1Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

Surgical Neurology
|July 1, 1997
PubMed
Summary
This summary is machine-generated.

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This case report details a rare instance of multiple infected extradural hydatid cysts in the brain. Successful management involved surgical removal and long-term albendazole therapy, preventing recurrence.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Radiology

Background:

  • Intracranial hydatid disease is rare, accounting for 1%-2% of all hydatid disease cases.
  • Multiple infected extradural parasellar hydatid cysts represent an exceptionally uncommon clinical presentation.

Observation:

  • A 21-year-old man presented with a 3-year history of supraclavicular swelling and 6 months of increased intracranial pressure.
  • Neurologic examination revealed vision deterioration, optic atrophy, cranial nerve palsies, and conductive deafness.
  • Computed tomography (CT) showed a hypodense, lobulated lesion with septations and calcification in the middle cranial fossa.

Findings:

  • Cytology confirmed an infected hydatid cyst from temporal swelling aspirate.
  • Surgical excision of extradural cysts, followed by albendazole, led to complete resolution on repeat CT.

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  • No recurrence was observed at 1-year follow-up.

    • Implications:

    • This case highlights an unusual CT appearance of infected extradural hydatid cysts.
    • It underscores the challenges in complete surgical excision of such lesions.
    • Successful management with long-term albendazole therapy is demonstrated for this rare condition.