Skip to main content

Advertisement

Log in

Gradual and complete delivery of a hydatid cyst of the brain through a single burr hole, a wrong happening!

  • Case Report
  • Published:
Child's Nervous System Aims and scope Submit manuscript

Abstract

Introduction

Cerebral hydatidosis is a rare larval infection of the central nervous system affecting mostly the children and young adults.

Case report

The authors report a case of a 5-year-old girl harboring a large right frontoparietal hydatid cyst. The imaging studies were not diagnostic for ‘cerebral hydatidosis’ and were interpreted as ‘brain abscess’.

Discussion

Attempting for simple cannulation of the lesion through a burr hole drained a clear fluid. The cannula was removed promptly but the cyst wall came out little by little through the hole in a single piece which turned out to be the entire wall of a hydatid cyst. She was treated by antihelmintic medications for 6 months and there has been no sign of recurrence after a year. Odd paraclinical imaging characteristics and unique accidental surgical event makes this case the first reported pediatric brain hydatidosis with spontaneous complete delivery of the cyst through a single burr hole which can certainly be considered a wrong attempt if undertaken intentionally.

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

Access this article

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

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Abbassioun K, Amirjamshidi A (2001) Diagnosis and management of hydatid cyst of the central nervous system. Part 1. General considerations and hydatid disease of the brain. Neurosurg Q 11:1–9

    Article  Google Scholar 

  2. Abbassioun K, Rahmat H, Ameli NO, Tafazoli M (1978) Computed tomography in hydatid cyst of the brain. J Neurosurgery 94:408–11

    Article  Google Scholar 

  3. Abbassioun K, Sabouri-Deylami M, Rahmat H (1982) Diagnostic preoperatoire des kystes hydatiques cerebraux par la tomodensityometrie et son importance prognostique. Neurochirurgie 28:21–24

    CAS  PubMed  Google Scholar 

  4. Altinörs N, Bavbek M, Caner HH, Erdogan B (2000) Central nervous system hydatidosis in Turkey. A cooperative study and literature analysis of 458 cases. J Neurosurgery 93:1–8

    Article  Google Scholar 

  5. Bonakdarpour A, Echinococcus disease (1967) Report of 112 cases from Iran and a review of 611 cases from the United States. AJR 99:660–667

    CAS  Google Scholar 

  6. Coates R (1990) MR imaging of cerebral hydatid cysts. AJNR 11:1249–50

    CAS  PubMed  Google Scholar 

  7. Demir K, Karsli AF, Kaya T, Alkan K (1991) Cerebral hydatid cysts. CT findings. Neuroradiology 33:22–24

    Article  CAS  PubMed  Google Scholar 

  8. Ersahin Y, Mutluer S, Guzelbag E (1993) Intracranial hydatid cysts in children. Neurosurgery 33:219–224

    Article  CAS  PubMed  Google Scholar 

  9. Gonzalez-Ruiz CA, Isla A, Perez-Higueras A, Blazquez MG (1990) Unusual CT image of a cerebral hydatid cyst. Ped Radiol 20:283–284

    Article  CAS  Google Scholar 

  10. Pearl M, Kosilimbos DG, Lehrer HZ, Rao AH, Fink H, Zaiman H (1987) Cerebral echinococcosis, a pediatric disease. Report of 2 cases with one successful five year survival. Pediatrics 61:915–920

    Google Scholar 

  11. Peter JC, Domingo Z, Sinclair-Smith C, de Villiers JC (1994) Hydatid infestation of the brain. Difficulties with computed tomography diagnosis and surgical treatment. Pediat Neurosurg 20:78–83

    Article  CAS  Google Scholar 

  12. Tuzun M, Hekimoglu B (1998) Hydatid disease of the CNS. Imaging features. AJR 171:1497–1500

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Abbas Amirjamshidi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Anvari, M., Amirjamshidi, A. & Abbassioun, K. Gradual and complete delivery of a hydatid cyst of the brain through a single burr hole, a wrong happening!. Childs Nerv Syst 25, 1639–1642 (2009). https://doi.org/10.1007/s00381-009-0937-0

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00381-009-0937-0

Keywords

Navigation