Child's Nervous System

, Volume 34, Issue 7, pp 1391–1396 | Cite as

An extraaxially localized intrasellar giant hydatid cyst with hypophyseal insufficiency

  • Gökhan Çavuş
  • Vedat Açik
  • Yeliz Çavuş
  • Emre Bilgin
  • Yurdal Gezercan
  • Ali Ihsan Ökten
Original Paper



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.


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


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.


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.


Intrasellar Hydatid cyst Panhypopituitarism Echinococcus 


Compliance with ethical standards

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.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of NeurosurgeryAdana Numune Training and Research HospitalYüreğir/AdanaTurkey
  2. 2.Department of RadiologyAdana Numune Training and Research HospitalAdanaTurkey

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