Skip to main content

Advertisement

SpringerLink
Log in

An extraaxially localized intrasellar giant hydatid cyst with hypophyseal insufficiency

  • Original Paper
  • Published:
Child's Nervous System Aims and scope Submit manuscript

Abstract

Purpose

A hydatid cyst is a parasitic illness that is caused by the larvae of Echinococcus granulosus. Hydatid cysts occur in the liver in 75% and in the lungs in 15% of cases. Central nervous system involvement is rare (perhaps as low as 1%), and the majority of such cases are observed in children. Headache and vomiting are the most frequently observed symptoms. In patients diagnosed with a hydatid cyst, imaging methods and serologic tests are very important for identifying cranial involvement. The most curative method is to remove the unruptured cyst using Dowling’s method and to then wash the resulting gap with sodium chloride.

Methods

The patient was a 16-year-old female with previous occasional headaches, progressive loss of vision, and general affective disorder.

Results

The patient presented at the emergency department with the above-mentioned complaints. She was hospitalized for a large cystic lesion in an extraaxially intrasellar location based on computerized tomography (CT) of the brain. The cyst was excised, and medical treatment was applied.

Conclusions

Hydatid cysts are rarely located in the central nervous system. Treatment involves surgical and medical interventions. In this article, we present the first published case of a giant hydatid cyst with an extraaxial intrasellar location. This is the first such case to be reported in the literature. The cyst caused somnolence, general affective disorder, panhypopituitarism, and progressive loss of vision.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Evliyaoglu C, Yuksel M, Gul B, Kaptanoglu E, Yaman M (1998) Growth rate of multiple intracranial hydatid cysts assessed by CT from the time of embolisation. Neuroradiology 40(6):387–389. https://doi.org/10.1007/s002340050607

    Article  PubMed  CAS  Google Scholar 

  2. Iplikçioğlu AC, Ozer AF, Benli K, Işik N, Erbengi A (1989) Multiple cerebral hydatid cysts: report of two cases. Br J Neurosurg 3(2):217–219. https://doi.org/10.3109/02688698909002797

    Article  PubMed  Google Scholar 

  3. Turgut AT, Altin L, Topçu S, Kiliçoğlu B, Aliinok T, Kaptanoğlu E et al (2007) Unusual imaging characteristics of complicated hydatid disease. Eur J Radiol 63(1):84–93. https://doi.org/10.1016/j.ejrad.2007.01.001

    Article  PubMed  Google Scholar 

  4. Kammerer WS (1993) Echinococcosis affecting the central nervous system. Semin Neurol 13(02):144–147. https://doi.org/10.1055/s-2008-1041118

    Article  PubMed  CAS  Google Scholar 

  5. Pedrosa I, Saíz A, Arrazola J, Ferreirós J, Pedrosa CS (2000) Hydatid disease: radiologic and pathologic features and complications. Radiographics 20(3):795–817. https://doi.org/10.1148/radiographics.20.3.g00ma06795

    Article  PubMed  CAS  Google Scholar 

  6. Turgut M (2001) Intracranial hydatidosis in Turkey: its clinical presentation, diagnostic studies, surgical management, and outcome. A review of 276 cases. Neurosurg Rev 24(4-6):200–208. https://doi.org/10.1007/s101430100168

    Article  PubMed  CAS  Google Scholar 

  7. Bükte Y, Kemaloğlu S, Nazaroğlu H, Özkan U, Ceviz A, Şimsek M (2004) Cerebral hydatid disease: CT and MR imaging findings. Swiss Med Wkly 134(31-32):459–467

    PubMed  Google Scholar 

  8. Darwazah AK, Zaghari M, Eida M, Batrawy M (2013) Left ventricular endocardial ecchinococcosis associated with multiple intracranial hydatid cysts. J Cardiothorac Surg 8(1):104. https://doi.org/10.1186/1749-8090-8-104

    Article  PubMed  PubMed Central  Google Scholar 

  9. Karadağ O, Gürelik M, Özüm U, Göksel HM (2004) Primary multiple cerebral hydatid cysts with unusual features. Acta Neurochir 146:73–77; discussion 77

    Article  PubMed  Google Scholar 

  10. Çakır D, Çelebi S, Gürpınar A, Ağın M, Bozdemir ŞE (2009) Evaluation of cases with hydatid diseases. J Pediatr Inf 3:104–108

    Google Scholar 

  11. King CH (2000) Echinococcosis. In: Mandell GL, Bennett JE, Dolin R (eds) Principles and practice of infectious disease. Churchill Livingston, New York, pp 2962–2963

    Google Scholar 

  12. Altıntaş N, Tınar R, Çoker A. Echinococcosis (1. baskı). In: AN, Tınar R, Çoker A (eds) Hidatoloji Derneği Yayın; 2004, pp 129–283.

  13. Versaci A, Scuderi G, Rosato A, Angıo LG, Oliva G, Sfuncia G et al (2005) Rare localisation of echinococcosis: personal experience ANZ. J Surg 75:986–991

    Google Scholar 

  14. Blanton R (2007) Echinococcosis (Echinococcus granulosus and Echinococcus multilocularis). In: Behrman RE, Kliegman RM, Jenson HB, Stanton BF (eds) Nelson textbook of pediatrics, ed 18. WB Saunders, Philadelphia, pp 1516–1517

    Google Scholar 

  15. Boles DM (1981) Cerebral echinococciasis. Surg Neurol 16(4):280–282. https://doi.org/10.1016/0090-3019(81)90057-4

    Article  PubMed  CAS  Google Scholar 

  16. Demir K, Karsli AF, Kaya T, Devrimci E, Alkan K (1991) Cerebral hydatid cysts: CT findings. Neuroradiology 33(1):22–24. https://doi.org/10.1007/BF00593328

    Article  PubMed  CAS  Google Scholar 

  17. Paşaoğlu A, Orhon C, Akdemir H (1989) Multiple primary hydatid cysts of the brain. Turk J Pediatr 31(1):57–61

    PubMed  Google Scholar 

  18. Altinörs N, Senveli E, Dönmez T, Bavbek M, Kars Z, Sanli M (1995) Management of problematic intracranial hydatid cysts. Infection 23(5):283–287. https://doi.org/10.1007/BF01716287

    Article  PubMed  Google Scholar 

  19. Erşahin Y, Mutluer S, Güzelbağ E (1993) Intracranial hydatid cysts in children. Neurosurgery 33:219–224; discussion 224

    Article  PubMed  Google Scholar 

  20. Ciurea AV, Fountas KN, Coman TC, Machinis TG, Kapsalaki EZ, Fezoulidis NI, Robinson JS (2006) Long-term surgical outcome in patients with intracranial hydatid cyst. Acta Neurochir 148(4):421–426. https://doi.org/10.1007/s00701-005-0679-z

    Article  PubMed  CAS  Google Scholar 

  21. Cataltepe O, Colak A, Ozcan OE, Ozgen T, Erbengi A (1992) Intracranial hydatid cysts: experience with surgical treatment in 120 patients. Neurochirurgia (Stuttg) 35(4):108–111

    CAS  Google Scholar 

  22. Kalaitzoglou I, Drevelengas A, Petridis A, Palladas P (1998) Albendazole treatment of cerebral hydatid disease: evaluation of results with CT and MRI. Neuroradiology 40(1):36–39. https://doi.org/10.1007/s002340050535

    Article  PubMed  CAS  Google Scholar 

  23. Taş F, Gümüş C, Atalar M, Taş A, Eğilmez H, Bulut S (2002) Serebral kist Hidatiklerin Bilgisayarlı Tomografi Bulguları 24:113–118

    Google Scholar 

  24. Yüceer N, Güven MB, Yılmaz H (1998) Multiple hydatid cysts of the brain: a case report and review of literature. Neurosurgery 21:181–184

    Google Scholar 

  25. Arana-Iniquez R (1978) Echinococcus handbook of clinical neurology ınfections of the nervous system. North Holland Publishing Company, Amsterdam, pp 175–207

    Google Scholar 

  26. Arafah BM, Prunty D, Ybarra J, Hlavin ML, Selman WR (2000) The dominant role of increased intrasellar pressure in the pathogenesis of hypopituitarism, hyperprolactinemia, and headaches in patients with pituitary adenomas. J Clin Endocrinol Metab 85(5):1789–1793. https://doi.org/10.1210/jcem.85.5.6611

    Article  PubMed  CAS  Google Scholar 

  27. Zayour DH, Selman WR, Arafah BM (2004) Extreme elevation of intrasellar pressure in patients with pituitary tumor apoplexy: relation to pituitary function. J Clin Endocrinol Metab 89(11):5649–5654. https://doi.org/10.1210/jc.2004-0884

    Article  PubMed  CAS  Google Scholar 

  28. Oruçkaptan H, Özcan OE. Pituiter apopleksi ve acil hipofiz cerrahisi. Editörler; Ziyal Mİ, Erbaş T. Hipofiz adenomla- rı, 1. In: Baskı, Hacettepe Üniversitesi Hastaneleri Basımevi (eds) 2008, pp 268–280.

  29. Rajasekaran S, Vanderpump M, Baldeweg S, Drake W, Reddy N, Lanyon M, Markey A, Plant G, Powell M, Sinha S, Wass J (2011) UK guidelines for the management of pituitary apoplexy. Clin Endocrinol 74(1):9–20. https://doi.org/10.1111/j.1365-2265.2010.03913.x

    Article  Google Scholar 

  30. Erbaş T (2006) Pituitary apoplexy. Turkiye Klinikleri. J Surg Med Sci 2:28–30

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Adana Numune Training and Research Hospital, Serinevler Mah, Ege Bağatur Bulvarı, 01260, Yüreğir/Adana, Turkey

    Gökhan Çavuş, Vedat Açik, Emre Bilgin, Yurdal Gezercan & Ali Ihsan Ökten

  2. Department of Radiology, Adana Numune Training and Research Hospital, Adana, Turkey

    Yeliz Çavuş

Authors
  1. Gökhan Çavuş
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Vedat Açik
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yeliz Çavuş
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Emre Bilgin
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Yurdal Gezercan
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Ali Ihsan Ökten
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Gökhan Çavuş.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from all individual participants who were included in the study.

Ethical approval

All procedures performed in studies involving human participants were conducted in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Çavuş, G., Açik, V., Çavuş, Y. et al. An extraaxially localized intrasellar giant hydatid cyst with hypophyseal insufficiency. Childs Nerv Syst 34, 1391–1396 (2018). https://doi.org/10.1007/s00381-017-3715-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00381-017-3715-4

Keywords

Search

Navigation