Multiple and Bilateral Primary Brain Hydatid Cyst Dowling Technique is not always Appropriate (Case Report)

• Published in: International journal of anatomy radiology and surgery Vol. 5; no. 3; pp. SC22 - SC24
• Main Authors: Hilmani Said, Manfalouti Mohamed, Haouss Mohamed, El Kamar Abdenbi, El Azhari Abdessamad
• Format: Journal Article
• Language: English
• Published: JCDR Research and Publications Pvt. Ltd 01.07.2016
• Subjects: cerebral cyst; echinococcosis; mri
• ISSN: 2277-8543; 2455-6874
• DOI: 10.7860/IJARS/2016/8237.2165

Hydatid disease is a parasitic infestation caused by Echinococcus granulosus. Echinococcosis occurs worldwide and can affect multiple organs. Majority of the intracranial cysts are secondary and solitary. Bilateral and multiple primary cerebral cysts are uncommon and occur as a result of rupture of primary cerebral cyst or embolization from a ruptured peripheral cyst. Emergency surgical management of a 20-year-old man with multiple and bilateral primary hydatid cysts are presented. Eleven cysts, which were symptomatic due to their mass effect, were surgically removed in two stages, followed up with medical treatment. The patient was admitted firstly, with blindness, headache, vomiting and frontal syndrome six months later. The patient deteriorated rapidly with signs of left temporal commitment. Postoperative outcome was satisfactory. In addition to the fact, that the presented case is an additional example for the rare primary multiple and bilateral cerebral hydatid cysts.