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Hydatidosis of the Brain

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Hydatidosis of the Central Nervous System: Diagnosis and Treatment

Abstract

Cerebral hydatidosis is a rare parasitic disease representing only 1–2 % of all cerebral space-occupying lesions. It is still a major health problem in infected areas of the world, especially in rural areas. The vast majority of patients affected are children. They present with a wide range of clinical manifestations which mainly depend on the location and size of a given hydatid cyst. Computed tomography and magnetic resonance imaging have greatly contributed to a more accurate diagnosis of hydatidosis. Yet the gold standard of diagnosis remains a pathological one. Extirpation of the intact cyst is the treatment of choice, resulting in most cases to a complete recovery. Despite the introduction of modern surgical and pharmacological therapy, brain hydatid disease continues to be a substantial cause of morbidity and mortality in many parts of the world. Such a serious health problem should enhance endemic areas to develop more efficient preventive measures throughout rural areas in order to reduce mortality rates due to this disease.

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References

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

    Article  Google Scholar 

  • Abbassioun K, Rahmat H, Ameli NO, Tafazoli M. Computerized tomography in hydatid cyst of the brain. J Neurosurg. 1978;49:408–11.

    Article  CAS  PubMed  Google Scholar 

  • Ali M, Mahmood K, Khan P. Hydatid cysts of the brain. J Ayub Med Coll Abbottabad. 2009;21:152–4.

    PubMed  Google Scholar 

  • Altinörs N, Bavbek M, Caner HH, Erdogan B. Central nervous system hydatidosis in Turkey: a cooperative study and literature survey analysis of 458 cases. J Neurosurg. 2000;93:1–8.

    Article  PubMed  Google Scholar 

  • Ameli NO, Abbassioun K. Hydatid disease of the central nervous system. Tehran: Ketab Sara Co; 1995. p. 21–141. Chaps. 2–6.

    Google Scholar 

  • Andronikou S, Welman CJ, Kader E. Classic and unusual appearances of hydatid disease in children. Pediatr Radiol. 2002;32:817–28.

    Article  PubMed  Google Scholar 

  • 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. 2009;25:1639–42.

    Article  PubMed  Google Scholar 

  • Ba’assiri A, Haddad FS. Primary extradural intracranial hydatid disease: CT appearance. AJNR Am J Neuroradiol. 1984;5:474–5.

    PubMed  Google Scholar 

  • Basraoui D, El idrissi I, Jalal H, Hiroual M, Essadki O, Ousehal A, Aniba K, Ghannane H, Lmejjati M, Ait Benali S. Intracranial hydatid cysts in children: a report of 9 cases. J radiol. 2010; 91:293–6.

    Google Scholar 

  • Baden LR, Elliot DD. Case record of Massachusetts General Hospital: weekly clinicopathological exercises. Case 4–2003. A 42-year-old woman with cough, fever, and abnormalities on thoracoabdominal computed tomography. N Engl J Med. 2003;348:447–55.

    Article  PubMed  Google Scholar 

  • Baysefer A, Erdoğan E, Gonul E, Kayali H, Timurkaynak E, Seber N. Primary multiple cerebral hydatid cysts: Case report with CT and MRI study. Minim Invasive Neurosurg. 1998; 41:35–7.

    Google Scholar 

  • Behari S, Banerji D, Phadke RV, Shukla S, Krishnani N, Chhabra DK. Multiple infected extradural parasellar hydatid cysts. Surg Neurol. 1997;48:53–7.

    Article  CAS  PubMed  Google Scholar 

  • Bilge T, Batur Ş, Bilge S, Aydın Y, Aksoy B, Şenol S. Primary multiple hydatid cysts of the brain: Case report. Surg Neurol. 1993; 39:377–9.

    Google Scholar 

  • Bükte Y, Kemaloglu S, Nazaroglu H, Ozkan U, Ceviz A, Simsek M. Cerebral hydatid disease: CT and MR imaging findings. Swiss Med Wkly. 2004;134:459–67.

    PubMed  Google Scholar 

  • Canbolat A, Onal C, Kaya U, Coban TE. Intracranial extradural hydatid cysts. Report of three cases. Surg Neurol. 1994;41:230–4.

    Article  CAS  PubMed  Google Scholar 

  • Carcassone M, Aubresby P, Dor V, Choux M. Hydatid cyst in childhood. Prog Pediatr Surg. 1973;5:1–35.

    Article  Google Scholar 

  • Carrea R, Dowling Jr E, Guevara JA. Surgical treatment of hydatid cysts of the central nervous system in pediatric age (Dowling’s technique). Childs Brain. 1975;1:4–21.

    CAS  PubMed  Google Scholar 

  • Cataltepe O, Tahta K, Colak A, Erbengi A. Primary multiple cerebral hydatid cysts. Neurosurg rev. 1991; 14: 231–4.

    Google Scholar 

  • Cataltepe O, Colak A, Ozcan OE, Ozgen T, Erbengi A. Intracranial hydatid cysts: experience with surgical treatment in 120 patients. Neurochirurgia (Stuttg). 1992;35:108–11.

    CAS  Google Scholar 

  • Cavusoglu H, Tuncer C, Ozdilmac A, Aydin Y. Multiple intracranial hydatid cysts in a boy. Turk Neurosurg. 2009; 19: 203–7.

    Google Scholar 

  • Cemil B, Tun K, Gurcay AG, Uygur A, Kaptanoglu E. Cranial epidural hydatid cysts: clinical report and review of the literature. Acta Neurochir (Wien). 2009;151:659–62.

    Article  Google Scholar 

  • Chabalgoity JA, Moreno M, Carol H, Dougan G, Hormaeche CE. Salmonella typhimurium as a basis for a live oral Echinococcus granulosus vaccine. Vaccine. 2000;19:460–9.

    Article  CAS  PubMed  Google Scholar 

  • Ciurea AV, Fountas KN, Coman TC, Machinis TG, Kapsalaki EZ, Fezoulidis NI, Robinson JS. Long-term surgical outcome in patients with intracranial hydatid cyst. Acta Neurochir (Wien). 2006;148:421–6.

    Article  CAS  Google Scholar 

  • Demir K, Karsli AF, Kaya T, Devrimci E, Alkan K. Cerebral hydatid cysts: CT findings. Neuroradiology. 1991;33:22–4.

    Article  CAS  PubMed  Google Scholar 

  • Duishanbai S, Jiafu D, Guo H, Liu C, Liu B, Aishalong M, Mijiti M, Wen H. Intracranial hydatid cyst in children: report of 30 cases. Childs Nerv Syst. 2010;26:821–7.

    Article  PubMed  Google Scholar 

  • Erkutlu I, Buyukhatipoglu H, Alptekin M, Gok A. Where is the brain paranchyme? “Primary cerebral multiple cyst hydatid”. Intern Med. 2008;47:333.

    Article  PubMed  Google Scholar 

  • Ersahin Y, Mutluer S, Guzelbag E. Intracranial hydatid cysts in children. Neurosurgery. 1993;33:219–25.

    Article  CAS  PubMed  Google Scholar 

  • Furtado SV, Visvanathan K, Nandita G, Reddy K, Hegde AS. Multiple fourth ventricular hydatidosis. J Clin Neurosci. 2009;16:110–2.

    Article  CAS  PubMed  Google Scholar 

  • Gokalp HZ, Erdogan A. Hydatid cyst of the aqueduct of Sylvius: case report. Clin Neurol Neurosurg. 1988;90:83–5.

    Article  CAS  PubMed  Google Scholar 

  • Gupta SK, Tandon SC, Khanna S, Asthana S. Case report: multiple intracranial hydatid cysts with post-operative dissemination. Clin Radiol. 1991;44:203–4.

    Article  CAS  PubMed  Google Scholar 

  • Gupta S, Desai K, Goel A. Intracranial hydatid cyst : a report of five cases and review of the literature. Neurol india. 1999; 47: 214–7.

    Google Scholar 

  • Iplikcioğlu AC, Ozer AF, Benli K, Işık N, Erbengi A. Multiple cerebral hydatid cysts: report of two cases. Br J Neurosurg. 1989;3:217–9.

    Article  PubMed  Google Scholar 

  • Karadağ O, Gurelik M, Ozum U, Goksel HM. Primary multiple cerebral hydatid cysts with unusual features. Acta Neurochir (Wien). 2004;146:73–7.

    Article  Google Scholar 

  • Karak PK, Mittal M, Bhatia S, Mukhopadhyay S, Berry M. Isolated cerebral hydatid cyst with pathognomonic CT sign. Neuroradiology. 1992;34:9–10.

    Article  CAS  PubMed  Google Scholar 

  • Khaldi M, Mohamed S, Kallel J, Khouja N. Brain hydatidosis report on 117 cases. Childs Nerv Syst. 2000;16:765–9.

    Article  CAS  PubMed  Google Scholar 

  • Lunardi P, Missori P, Di Lorenzo N, Fortuna A. Cerebral hydatidosis in childhood: a retrospective survey with emphasis on long-term follow-up. Neurosurgery. 1991;29:515–7.

    Article  CAS  PubMed  Google Scholar 

  • Mancuso P, Noubari BA, Gurusinghe NT. Multiple primary cerebral hydatid cysts: case report. Br J Neurosurg. 1997;11:248–9.

    Article  CAS  PubMed  Google Scholar 

  • Martin Oterino JA, Chimpen Ruiz VA, Reviriego Jaen G, Sanchez Rodriguez A. Repeated strokes as a sign of multiple cerebral hydatid cysts. Neurologia. 1996;11:307–9.

    CAS  PubMed  Google Scholar 

  • McCorkell SJ, Lewall DB. Computed tomography of intracerebral echinococcal cysts in children. J Comput Assist Tomogr. 1985;9:514–8.

    Article  CAS  PubMed  Google Scholar 

  • McManus DP, Zhang W, Li J, Bartley PB. Echinococcosis. Lancet. 2003;362:1295–304.

    Article  PubMed  Google Scholar 

  • Micheli F, Lehkuniec E, Giannaula R, Caputi E, Paradiso G. Calcified cerebral hydatid cyst. Eur Neurol. 1987;27:1–4.

    Article  CAS  PubMed  Google Scholar 

  • Mingde Q, Zheshang H. Echinococcosis of the central nervous system. Eur Neurol. 1981;20:125–31.

    Article  CAS  PubMed  Google Scholar 

  • Mohindra S, Savardekar A, Gupta R, Tripathi M, Rane S. Varied types of intracranial hydatid cysts: radiological features and management techniques. Acta Neurochir (Wien). 2012;154:165–72.

    Article  Google Scholar 

  • Negovetic L, Lupret V, Smiljanic D, Arsenic B. Cranial vault and gigantic intracranial hydatid cyst in a young woman. Neurosurgery. 1990;27:480–2.

    Article  CAS  PubMed  Google Scholar 

  • Nowak DA, Lucking MO, Böhmer RH, Schrenier R, Fuchs HH, Flügel KA. Isolated intracerebral cystic echinococcosis. Unusual presentation of a rare disease (in German). Dtsch Med Wochenschr. 2002;127:1638–42.

    Article  CAS  PubMed  Google Scholar 

  • Nurchi G, Floris F, Montaldo C, Mastio F, Peltz T, Coraddu M. Multiple cerebral hydatid disease: case report with magnetic resonance imaging study. Neurosurgery. 1992;30:436–8.

    Article  CAS  PubMed  Google Scholar 

  • Onal C, Erguvan-Onal R, Yakinci C, Karayol A, Atambay M, Daldal N. Can the requirement of a diversion procedure be predicted after an uncomplicated intracranial hydatid cyst surgery? Pediatr Neurosurg. 2006;42:383–6.

    Article  PubMed  Google Scholar 

  • Ozek M. Complications of central nervous system hydatid disease. Pediatr Neurosurg. 1994;20:84–91.

    Article  CAS  PubMed  Google Scholar 

  • Ozkan U, Kemaloğlu MS, Selcuki M. Gigantic intracranial mass of hydatid cyst. Childs Nerv Syst. 2001;17:623–5.

    Article  CAS  PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  • Per H, Kumandas S, Gümüs H, Kurtsoy A. Primary soliter and multiple intracranial cyst hydatid disease: report of five cases. Brain Dev. 2009;31:228–33.

    Article  PubMed  Google Scholar 

  • Popli MB, Khudale B. Primary multiple hydatid cysts of the brain. Australas Radiol. 1998;42:90–1.

    Article  CAS  PubMed  Google Scholar 

  • Rudwan MA, Khaffaji S. CT of cerebral hydatid disease. Neuroradiology. 1988;30:496–9.

    Article  CAS  PubMed  Google Scholar 

  • Sahin-Akyar G. Computed tomography and magnetic resonance imaging findings in cerebral hydatid disease. Radiography. 2002;8:251–8.

    Article  Google Scholar 

  • Samiy E, Zadey FA. Cranial and intracranial hydatidosis with special reference to roentgen-ray diagnosis. J Neurosurg. 1965;22:425–33.

    Article  CAS  PubMed  Google Scholar 

  • Sharma A, Abraham J. Multiple giant hydatid cysts of the brain : case report. J Neurosurg. 1982; 57:413–5.

    Google Scholar 

  • Tlili-Graiess K, El Ouni F, Gharbi-Jemni H, Arifa N, Moulahi H, Mrad-Dali K, Guesmi H, Abroug S, Yacoub M, Krifa H. Cerebral hydatid disease: imaging features. J Neuroradiol. 2006;33:304–18.

    Article  CAS  PubMed  Google Scholar 

  • Todorov T, Vutova A, Petrov D, Balkanski G. Albendazole treatment of multiple cerebral hydatid cysts : case report. Trans R Soc Trop Med Hyg. 1988; 82:150–2.

    Google Scholar 

  • Topal U, Parlak M, Kilic E, Sivri Z, Sadikoglu MY, Tuncel E. CT and MRI findings in cerebral hydatid disease. Eur Radiol. 1995;5:244–7.

    Article  Google Scholar 

  • Torgerson PR. Mathematical models for the control of cystic echinococcosis. Parasitol Int. 2006;55:S253–8.

    Article  PubMed  Google Scholar 

  • Turgut M. The role of mebendazole in the surgical treatment of central nervous system hydatid disease. Br J Neurosurg. 1998;12:289.

    CAS  PubMed  Google Scholar 

  • Turgut M. Intracranial hydatidosis in Turkey: its clinical presentation, diagnostic studies, surgical management and outcome, a review of 276 cases. Neurosurg Rev. 2001;24:200–8.

    Article  CAS  PubMed  Google Scholar 

  • Tuzun M, Hekimoglu B. Hydatid disease of the central nervous system: imaging features. Am J Roentgenol. 1998;171:1497–500.

    Article  CAS  Google Scholar 

  • Tuzun M, Altinors N, Arda IS, Hekimoglu B. Cerebral hydatid disease CT and MR findings. Clin imaging. 2002; 26: 353–7.

    Google Scholar 

  • Yuceer N, Guven MB, Yilmaz H. Multiple hydatid cysts of the brain: a case report and review of the literature. Neurosurg Rev. 1998;21:181–4.

    Article  CAS  PubMed  Google Scholar 

  • Yurt A, Avci M, Selçuki M, Ozer F, Camlar M, Uçar K, Tasli F, Altinörs N. Multiple cerebral hydatid cysts. Report of a case with 24 pieces. Clin Neurol Neurosurg. 2007;109:821–6.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Pathology, Mongi Slim Hospital, La Marsa, Tunis, 2046, Tunisia

    Faten Limaiem MD

  2. Department of Pathology, La Rabta Hospital, Tunis, Tunisia

    Nidhameddine Kchir MD

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  1. Faten Limaiem MD
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  2. Nidhameddine Kchir MD
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Correspondence to Faten Limaiem MD .

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  1. Department of Neurosurgery, Adnan Menderes University School of Medicine, Aydin, Turkey

    Mehmet Turgut

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Limaiem, F., Kchir, N. (2014). Hydatidosis of the Brain. In: Turgut, M. (eds) Hydatidosis of the Central Nervous System: Diagnosis and Treatment. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54359-3_6

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  • DOI: https://doi.org/10.1007/978-3-642-54359-3_6

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