Abstract
Purpose
Complications related to cerebral hydatid cyst surgery are not uncommon but require prompt diagnosis and treatment. The aim of this study is to demonstrate the radiological findings that would indicate complications after cerebral hydatid cyst surgery in children and to report our results.
Method
The data of 25 pediatric patients who underwent surgery for cerebral hydatid cysts over a 16-year period were analyzed retrospectively. The complications related to surgical technique and cyst location were recorded. Postoperative radiological findings of the patients were documented.
Results
Intraoperative cyst rupture occured in three patients. Subdural effusion developed in five patients, porencephalic cyst in four, subdural effusion associated with porencephalic cyst in two, hemorrhage in two, epidural hematoma in one, and pneumocephalus in three patients. Subdural-peritoneal shunt was placed in two patients. Recurrence of cerebral hydatid cyst was observed in only one patient who experienced intraoperative cyst rupture. There was no surgery-related death.
Conclusions
The complications following cerebral hydatid cyst surgery in children are various and usually not fatal. When appropriate surgical procedures are planned and carefully applied, the results will be excellent with no mortality.
Similar content being viewed by others
References
Boop FA, Jacobs RF, Young RL (1999) Brain abscess and encephalitis in children. In: Albright AL, Pollack IF, Adelson PD (eds) Principles and practice of pediatric neurosurgery. Thieme, New York, pp 1203–1226
Arana-Iniguez R, San Julian J (1955) Hydatid cyst of the brain. J Neurosurg 12:323–335
Ayres CM, Davey LM, German WJ (1963) Cerebral hydatidosis. Clinical case report with a review of pathogenesis. J Neurosurg 20:371–377
Cataltepe O, Colak A, Ozcan OE, Ozgen T, Erbengi A (1992) Intracranial hydatid cysts: experience with surgical treatment in 120 patients. Neurochirurgia (Stuttg) 35:108–111
Ersahin Y, Mutluer S, Guzelbag E (1993) Intracranial hydatid cysts in children. Neurosurgery 33:219–225
Tuzun Y, Kadioglu HH, Izci Y, Suma S, Keles M, Aydin IH (2004) The clinical, radiological and surgical aspects of cerebral hydatid cysts in children. Pediatr Neurosurg 40:155–160
Izci Y, Tuzun Y, Secer HI, Gonul E (2008) Cerebral hydatid cysts: techniques and pitfalls of surgical management. Neurosurg Focus 24:E15
Horton RJ (1997) Albendazole in treatment of human cystic echinococcosis:12 years of experience. Acta Trop 64:79–93
Singounas EG, Leventis AS, Sakas DE, Hadley DM, Lampadarios DA, Karvounis PC (1992) Successful treatment of intracerebral hydatid cysts with albendazole:case report and review of the literature. Neurosurgery 31:571–574
Carrea R, Dowling E Jr, Guevera A (1975) Surgical treatment of hydatid cysts of the central nervous system in the pediatric age (Dowling's technique). Childs Brain 1:4–21
Kaye AH (1991) Infections of the central nervous system. In: Kaye AH (ed) Essential neurosurgery. Churchill Livingstone, Edinburgh, pp 235–254
Altinors N, Senveli E, Donmez T, Bavbek M, Kars Z, Sanli M (1995) Management of problematic intracranial hydatid cysts. Infection 23:283–287
Kocaman S, Ersahin S, Mutluer S (1999) Cerebral hydatid cysts in children. J Neurosci Nurs 31:270–277
Weaver KD, Bullitt EB (2003) Parasitic infections of the central nervous system. In: Batjer HH, Loftus CM (eds) The textbook of neurological surgery. Lippincott Williams & Wilkins, Philadelphia, pp 3165–3173
Gezen F, Baysefer A, Koksel T, Gönül E, Akay KM, Erdogan E (1995) Hydatid cysts of the brain. Clin Infect Dis 21:938–942
Ozek MM (1994) Complications of central nervous system hydatid disease. Pediatr Neurosurg 20:84–91
Bottieau E, David P, Dewitte O, Jacobs F (2003) Eosinophilic meningitis following incomplete resection of a meningeal hydatid cyst. Scand J Infect Dis 35:898–901
Ciurea AV, Vasilescu G, Nuteanu L, Carp N (1995) Cerebral hydatid cyst in children. Experience of 27 cases. Childs Nerv Syst 11:679–685
Diaz P, Maillo A (2002) Middle cerebral artery occlusion after cerebral hydatic embolism in a pediatric patient: case report. Neurocirugia (Astur) 13:216–218
Gerstle de Pasquet E, Pietra M, Iniquez RA (1976) Epileptic seizures as an early complication of neurosurgery. Acta Neurol Latinoam 22:144–151
Koizumi H, Fukamachi A, Nukui H (1987) Postoperative subdural fluid collections in neurosurgery. Surg Neurol 27:147–153
Garcia-Uria J, Cabezudo J, Nombela L (1980) Subdural haematoma as a complication in the surgical removal of intracranial hydatidosis. Acta Neurochir (Wien) 52:51–54
Korinth MC, Lippitz B, Mayfrank L, Gilsbach JM (2000) Subdural-atrial and subdural-peritoneal shunting in infants with chronic subdural fluid collections. J Pediatr Surg 35:1339–1343
Al-Yamany M, Del Maestro RF (2000) Prevention of subdural fluid collections following transcortical intraventricular and/or paraventricular procedures by using fibrin adhesive. J Neurosurg 92:406–412
Ersahin Y, Tabur E, Kocaman S, Mutluer S (2000) Complications of subduroperitoneal shunting. Childs Nerv Syst 16:433–436
Fukamachi A, Koizumi H, Nukui H (1985) Postoperative intracerebral hemorrhages: a survey of computed tomographic findings after 1074 intracranial operations. Surg Neurol 23:575–580
Vassilouthis J, Anagnostaras S, Papandreou A, Dourdounas E (1999) Is postoperative haematoma an avoidable complication of intracranial surgery? Br J Neurosurg 13:154–157
Reasoner DK, Todd MM, Scamman FL, Warner DS (1994) The incidence of pneumocephalus after supratentorial craniotomy. Observations on the disappearance of intracranial air. Anesthesiology 80:1008–1012
Scherer R, Van Aken H, Lawin P, Dorsic D (1984) Tension pneumocephalus. A frequently misconstrued complication following neurosurgical operations. Neurochirurgia (Stuttg) 27:59–61
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Tuzun, Y., Solmaz, I., Sengul, G. et al. The complications of cerebral hydatid cyst surgery in children. Childs Nerv Syst 26, 47–51 (2010). https://doi.org/10.1007/s00381-009-0970-z
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00381-009-0970-z