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.
Similar content being viewed by others
References
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
Abbassioun K, Rahmat H, Ameli NO, Tafazoli M (1978) Computed tomography in hydatid cyst of the brain. J Neurosurgery 94:408–11
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
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
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
Coates R (1990) MR imaging of cerebral hydatid cysts. AJNR 11:1249–50
Demir K, Karsli AF, Kaya T, Alkan K (1991) Cerebral hydatid cysts. CT findings. Neuroradiology 33:22–24
Ersahin Y, Mutluer S, Guzelbag E (1993) Intracranial hydatid cysts in children. Neurosurgery 33:219–224
Gonzalez-Ruiz CA, Isla A, Perez-Higueras A, Blazquez MG (1990) Unusual CT image of a cerebral hydatid cyst. Ped Radiol 20:283–284
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
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
Tuzun M, Hekimoglu B (1998) Hydatid disease of the CNS. Imaging features. AJR 171:1497–1500
Author information
Authors and Affiliations
Corresponding author
Rights 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
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00381-009-0937-0