Management of Intracranial Hydatid Cyst

Authors

  • FAROOQ AZAM Department of Neurosurgery,
  • MIAN IFTIKHAR-UL- HAQ Trainee Medical Officer, Neurosurgery, PGMI
  • MUSHTAQ . Trainee Medical Officer, Neurosurgery, PGMI

Keywords:

Management,, intracranial hydatid cyst.

Abstract

Objective: To know the clinical presentation and surgical complication of intracranial hydatid cyst.
Materials and Methods: This retrospective study was done in neurosurgery department of Hayatabad Medical Complex, Peshawar, from 2nd February 1998 to 1st October 2012. A total of 37 patients with intracranial hydatid cyst, irrespective of gender discrimination were included in this study. Intracranial hydatid cyst was diagnosed on CT scan brain. The information regarding patient demographical details, clinical features, CT brain findings and post-operative complications was documented in patient’s Performa. The data was analyzed by SPSS version 16. Frequency and percentage was calculated for categorical variables. Mean ± SD was calculated for age. Results were presented as tables.
Results: A total of 37 patients were included in the study. Out of 37 patients, there were 23 (62.8%) males and 14 (37.14%) females. The mean age was 12.4 years. Most of patients presented with increased intracranial pressure features like headache, vomiting and papilloedema. Majority of the patients had hydatid cyst in parietal region %. Post-operatively two patients having wound infection and no mortality.
Conclusion: Hydatid disease should be kept in the differential diagnosis of cystic lesion of the brain. The pericystic hydraulic hydatid cyst excision is the safe procedure with minimal morbidity.

References

Evliyaoglu C, Keskil S. Possible spontaneous “birth” of a hydatid cyst into the lateral ventricle. Childs Nerv Syst 2005; 21: 425–8.
2. Akdemir G, Dagl?oglu E, Secer M, Ergungor F. Hyda-tid cysts of the internal acoustic canal and jugular fora-men. Journal of Clinical Neuroscience 2007; 14 (4): 394–6.
3. Onal C, Erguvan – Onal R, Yakinci C, Karayol A, Atambay M, Daldal N. Can the requirement of a diver-sion procedure be predicted after an uncomplicated intracranial hydatid cyst surgery? Pediatr Neurosurg 2006; 42 (6): 383–6.
4. Cemil B, Tun K, Gurcay AG, Uygur A, Kaptanoglu E: Cranial epidural hydatid cysts: Clinical report and re-view of the literature. Acta Neurochir (Wien) 2009; 151 (6): 659-62.
5. Rumana M, Mahadevan A, Nayil Khurshid M, Kovoor JM,Yasha TC, Santosh V et al. Cestode parasitic infes-tation: intracranial and spinal hydatid disease – a clini-copathological study of 29 cases from South India. Clin Neuropathol 2006; 25: 98–104.
6. Daskas AN, Aggelopoulos E, Tzoufi M. Accidental drainage of a cerebral hydatid cyst into the peritoneal cavity. Ped Infec Dis J 2004; 23 (7): 685?6.
7. Gottstein B. Hydatid disease. In: Cohen J et al, editors. Infectious diseases. 2nd ed.Edinburgh; Mosby. 2004; 1601.
8. Turner JA. Cestodes. In: Feigin RD, Cherry JD, Dem-mler CJ, Kaplan SL (ed). Textbook of Pediatric Infec-tious Diseases. 5th ed. Philadelphia; Saunders. 2004; 2808?9.
9. Limaiem F, Bellil S, Bellil K, Chelly I, Mekni A, Kha-ldi M, Haouet S, Zitouna M, Kchir N: Primary hydati-dosis of the central nervous system: a retrospective stu-dy of 39 Tunisian cases. Clin Neurol Neurosurg 2010; 112 (1): 23-28. 10. Tuzun Y, Kadioglu HH, Izci Y, et al. The clinical, radi-ological and surgical aspects of cerebral hydatid. Ped-iatr Neurosurg 2004; 40 (4): 155?60. 11. Ciurea AV, Fountas KN, Coman TC, Machinis TG, Kapsalaki EZ, Fezoulidis NI, et al. Long – term surgi-cal outcome in patients with intracranial hydatid cyst. Acta Neurochir (Wien) 2006; 148: 421–6. 12. Wani NA, Kousar TL, Gojwari T, Robbani I, Singh M, Ramzan A, et al. Computed Tomography Findings in Cerebral Hydatid Disease. Turkish Neurosurgery 2011; 21 (3): 347-51.
13. Bukte Y, Kemanoglu S, Nazaroglu H, Ozkan U, Ceviz A, Simsek M. Cerebral hydatid disease: CT and MR imaging findings. Swiss Med Wkly 2004; 134: 459-67. 14. Ali M, Mahmood K, Khan P. Hydatid cysts of the brain. J Ayub Med Coll Abbottabad 2009; 21 (3): 152-154. 15. Fares Y, El – Zaatari M, Haddad G, Kanj A. Cerebral hydatid cyst: successfully managed. Pan Arab Journal of Neurosurgery 2011; 15 (2): 9-11.
16. Gupta S, Desai K, Goel A. Intracranial hydatid cyst: a report of five cases and review of literature. Neurol India 1999; 47: 214.

Downloads

Published

2018-09-29

Issue

Vol. 17 No. 1 (2013): January-June

Section

Original Articles

License

The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).