Abstract
Complications of cerebral hydatidosis are studied in three time frames, the preoperative, operative, and postoperative periods. In the preoperative period, these complications are blindness, calcification of the cyst, infected and complicated cysts, caseation, formation of “chitinoma,” hydrocephalus, leakage of cyst fluid in the surrounding brain, spontaneous intracranial rupture of the cyst, bulging and thinning of the skull in the vicinity of the cyst, perforation of the skull and/or dura by the intact cyst, cerebral stroke and hydatid embolization from disease in the heart, infertility due to cyst pressure on the hypothalamo-pituitary axis, and nephrotic syndrome. In the treatment period, these complications are inadvertent rupture or intentional cyst puncture, cystoperitoneal shunt, cysto-atrial shunt, anaphylactic shock, and complications of medicinal treatment. During the posttreatment period, these complications are recurrences; porencephalic cyst; subdural effusion; pneumo- or hydrocephalus; bleeding in the epidural, subdural, or intraparenchymal spaces; wound infection; meningitis and abscess formation; cerebrospinal fluid leaks; pulmonary embolism; calcifications; glioma; choreiform movements; mental retardation; seizures; and death.
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Acknowledgments
I am indebted to Miss Aida Farha and her staff, at the Saab Medical Library at the American University of Beirut, for their help in obtaining valuable references. To Dr. Sherreen Khayrallah go my thanks for going over the English of this chapter and to Drs. Georges F. Haddad and Souheil F. Haddad for reviewing the text and suggesting many important corrections.
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Haddad, F.S. (2014). Complications of Cerebral Hydatidosis. In: Turgut, M. (eds) Hydatidosis of the Central Nervous System: Diagnosis and Treatment. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54359-3_17
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