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[Cerebral hydatic cysts in children]

S Ben Becher1, M Cheour, L Ben Hassine

  • 1Service de pédiatrie, urgences et consultations externes, hôpital d'Enfants, Tunis-Jebbari, Tunisie.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|March 7, 1998
PubMed
Summary

Echinococcus granulosus brain cysts are rare in children from endemic areas. Early brain CT scans are crucial for diagnosing and locating these cysts to manage intracranial hypertension effectively.

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Area of Science:

  • Pediatric Neurology
  • Infectious Diseases
  • Radiology

Background:

  • Echinococcus granulosus infections can cause brain cysts, particularly in children residing in endemic regions.
  • Cerebral echinococcosis is an uncommon but serious condition requiring prompt diagnosis and management.

Observation:

  • Six pediatric patients presented with progressive intracranial hypertension due to supratentorial brain cysts.
  • Brain CT scans revealed unilocular or multilocular cysts, with some cases showing co-existing cysts in other organs or generalized disease.

Findings:

  • Surgical excision of brain cysts led to recovery in five out of six children.
  • One patient with generalized echinococcosis died post-operatively, highlighting the potential severity of the condition.

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Implications:

  • Progressive intracranial hypertension in endemic areas necessitates urgent brain CT evaluation to identify Echinococcus cysts.
  • Timely diagnosis and surgical intervention are critical for favorable outcomes in pediatric cerebral echinococcosis.