, Volume 156, Issue 3, pp 613-614

Delayed cerebral vasospasm and systemic inflammatory response syndrome following intraoperative rupture of cerebral hydatid cyst

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Dear Editor,

Treatment for symptomatic cerebral hydatid cyst is usually surgical excision. Surgery for cerebral hydatid cyst remains tricky, as inadvertent rupture may cause dissemination and occasionally allergic shock [3]. We report an unusual complication of delayed cerebral vasospasm and systemic inflammatory response syndrome (SIRS) following intraoperative rupture of hydatid cyst.

A twenty-two-year old male presented with bifrontal headache for 5 years that worsened over the last 4 months, along with vomiting and left brachio-facial weakness in the last 1 month. Radiology revealed multiloculated large cystic lesion in the right temporal lobe, with the cyst walls partly enhancing (Fig. 1a–d).Fig. 1

Multiloculated cystic lesion in the right temporal lobe hypointense on T1(a), hyperintense on T2 (b) with partial enhancement of thick septae on contrast(c). Computed tomography (CT) showed similar solid cystic lesion without perilesional edema (d); serial post-operative CT scans showed no

Not presented at any conference.