La tunisie Medicale - 2022 ; Vol 100 ( n°01 ) : 56-59
[ 795 times seen ]
Summary

Background : Hydatidosis is an endemic parasitosis in Tunisia that affect mostly the liver and the lung. Brain involvment is rare.
Aim: To focus on diagnostic, therapeutic and evolutive characteristics of cerebral hydatidosis.
Methods : We report all cases of cerebral hydatidosis seen in the infectious diseases and neurosurgery departments between January 2013 and June 2020.
Results : Six cases of intracranial hydatid cyst were reported. The male to female ratio was 3:3. Age ranged from 3 to 60 years with a median age of 20,5 years. All patients lived in rural areas. The clinical symptomatology was progressive in 4 cases. It was dominated by headache (all cases). Brain imaging confirmed the diagnosis in all cases. The hydatid cyst was solitary and supratentorial in 3 cases. All the patients were operated. Albendazole was prescribed immediately after surgery, for 6 months in 5 cases and for 3 years in the case of disseminated hydatidosis. The outcome was favorable without recurrence in all patients with an average follow-up of 3,5 ± 0,5 years.
Conclusion : Hydatid cyst of the brain is characterized by the severity of the neurological signs, the mandatory use of surgery because of life threatening and the excellent outcomes.

Key - Words
Article
Reference
  1. Moro P, Schantz PM. Echinococcosis: a review. Int J Infect Dis. 2009;13(2):125-33.
  2. M’rad S, Oudni-M’rad M, Boubaker G, et al. Étude rétrospective de la distribution et de la fertilité des kystes hydatiques chez l’enfant en Tunisie. Pathol Biol.2012;60(3):166-9.
  3. Acha-Sánchez JL, Yaya-Loo HJ, Chipana-Sotomayor ME. Quiste hidatídico cerebral: caso clínico y revisión de la literatura. Neurocirugia. 2017;28(4):207-10.
  4. Sanlı AM, Türkoğlu E, Kertmen H, Gürer B. Hydatid cyst of the ambient cistern radiologically mimicking an arachnoid cyst. J Neurosurg Pediatr. 2012;10(3):186-8.
  5. Tanki H, Singh H, Raswan US, Bhat AR, Kirmani AR, Ramzan AU. Pediatric Intracranial Hydatid Cyst: A Case Series with Literature Review. Pediatr Neurosurg. 2018;53(5):299-304.
  6. Brahem M, Hlel K, Ayadi A, et al. Kyste hydatique cérébral de l’enfant : à propos de quatre observations. Med Mal Infect. 2006;36(8):434-7.
  7. Saqui AE, Aggouri M, Benzagmout M, Chakour K, Faiz ME. Kystes hydatiques cérébraux de l’enfant: à propos de 15 cas. Pan Afr Med J. 2017;26:205.
  8. Binesh F, Mehrabanian M, Navabii H. Primary brain hydatosis. BMJ Case Rep. 2011;2011:bcr0620103099.
  9. Bükte Y, Kemanog S. Cerebral hydatid disease: CT and MR imaging findings. Swiss Med Wkly. 2004;134(31-32):459-67.
  10. Basraoui D, El Idrissi I, Jalal H, et al. Kystes hydatiques cérébraux de l’enfant : à propos de 9 cas. J Radiol. 2010;91(3):293-6.
  11. El A, Aggouri M, Benzagmout M, Chakour K, Faizchaoui ME. Kyste hydatique de la fosse cérébrale postérieure. Pan Afr Med J. 2017;26:133.
  12. Alkhotani A, Butt B, Khalid M, Binmahfoodh M. Peripontomedullary hydatid cyst: Case report and literature review. Int J Surg Case Rep. 2019;55:23-7.
  13. Belahcen M, Khattala K, Elmadi A, Bouabdellah Y. Kyste hydatique cérébral chez l’enfant: à propos de 5 cas. Pan Afr Med J. 2014;17:149.
  14. Bagheri AB, Zibaei M, Arasteh MT. Cystic Echinococcosis: A Rare Case of Brain Localization. Iran J Parasitol. 2017;12(1):152-5.
  15. Lakhdar F, Arkha Y, Bougrine M, Derraz S, El Ouahabi A, El Khamlichi A. Kyste hydatique intra- et extracrânien de la fosse cérébrale postérieure : à propos d’un cas. Neurochirurgie. 2010;56(5):391-4.
  16. Tlili-Graiess K, El-Ouni F, Gharbi-Jemni H, et al. Hydatidose cérébrale. J Neuroradiol. 2006;33(5):304-18.
  17. Brunetti E, Kern P, Vuitton DA. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop. 2010;114(1):1-16.
  18. Ghannane H, Aniba K, Haddi M, et al. Kyste hydatique cérébral chez l’enfant: à propos de 6 cas. Arch Pediatr. 2007;14(2):196-7.
  19. Yadav VK, Sudhakar SV, Panwar J. Pathognomonic MRI and MR spectroscopy findings in cerebral hydatid cyst. Acta Neurol Belg. 2016;116(3):353-5.
  20. Nabarro LE, Amin Z, Chiodini PL. Current Management of Cystic Echinococcosis: A Survey of Specialist Practice. Clin Infect Dis. 2015;60(5):721-8.
  21. Ben Jemaa M, Marrakchi C, Maaloul I, et al. Traitement médical du kyste hydatique : évaluation de l’albendazole chez 3 patients (22 kystes). Med Mal Infect. 2002;32(9):514-8.
  22. Chen S, Li N, Yang F, et al. Medical treatment of an unusual cerebral hydatid disease. BMC Infect Dis. 2018;18(1):12.
  23. . Tuzun Y, Solmaz I, Sengul G, Izci Y. The complications of cerebral hydatid cyst surgery in children. Childs Nerv Syst. 2010;26(1):47-51.
Login
E-mail :
Password :
Remember Me Forgot password? Sign UP
Archives
2022
January
February
March
April
May
June
July
August
September
October
November
December
Keywords most used
Child treatment surgery diagnosis Tunisia prognosis Children Crohn’s disease Breast cancer screening Cancer epidemiology Ulcerative colitis obesity mammography
Newsletter
Sign up to receive our newsletter
E-mail :
Stay in Touch
Join Us! !