Atormac
briv
Neurology India
menu-bar5 Open access journal indexed with Index Medicus
  Users online: 996  
 Home | Login 
About Editorial board Articlesmenu-bullet NSI Publicationsmenu-bullet Search Instructions Online Submission Subscribe Videos Etcetera Contact
  Navigate Here 
 Search
 
  
 Resource Links
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (578 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this Article
   References
   Article Figures

 Article Access Statistics
    Viewed80    
    Printed0    
    Emailed0    
    PDF Downloaded8    
    Comments [Add]    

Recommend this journal

 


 
Table of Contents    
NEUROIMAGE
Year : 2021  |  Volume : 69  |  Issue : 4  |  Page : 1111

Ruptured Brain Hydatid Cyst


Dr. Gulati Imaging Institute, J -16, Hauz Khas, New Delhi, India

Date of Submission18-Jun-2018
Date of Decision20-Mar-2020
Date of Acceptance15-May-2021
Date of Web Publication2-Sep-2021

Correspondence Address:
Parveen Gulati
Dr. Gulati Imaging Institute, J -16, Hauz Khas, New Delhi - 110016
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.325350

Rights and Permissions



How to cite this article:
Gupta LK, Mirza A, Gulati A, Gulati P. Ruptured Brain Hydatid Cyst. Neurol India 2021;69:1111

How to cite this URL:
Gupta LK, Mirza A, Gulati A, Gulati P. Ruptured Brain Hydatid Cyst. Neurol India [serial online] 2021 [cited 2021 Sep 18];69:1111. Available from: https://www.neurologyindia.com/text.asp?2021/69/4/1111/325350




A 3-year-old male presented to the neurology unit with complains of sudden onset of headache for two days. Neurological evaluation revealed mild motor weakness in right upper and lower limb. Magnetic resonance imaging brain revealed a large well-defined intraaxial cystic mass in the left frontal lobe with smooth undulating margins and marked surrounding edema [Figure 1]a, [Figure 1]b, [Figure 1]c. The lesion showed peripheral enhancement with no diffusion restriction [Figure 1]d and [Figure 1]e. Small intraluminal cysts were seen along the wall with double-layered appearance [Figure 1]f. The radiological diagnosis of ruptured hydatid cyst was confirmed on surgery.
Figure 1: (a and b) Axial T2W and T1W image shows intraaxial CSF isointense cystic lesion in the left frontal lobe with smooth undulating margins and marked surrounding edema. (c) Sagittal T2W image shows marked edema around the cystic lesion. (d) Post contrast images reveal peripheral contrast enhancement. (e) No diffusion restriction is seen on DWI images. (f) The magnified T2W image shows the intralesional small cyst (arrow) with multilayered wall

Click here to view


Cerebral hydatid cyst is caused by Echinococcus granulosus that gets hematogenously transmitted to brain. The smooth undulating wall, daughter cysts, and multilayered appearance help in clinching the diagnosis. Perilesional edema signifies either the rupture of cyst or secondary infection. Surgical management is done with the removal of the cyst using Dowling's maneuver,[1] or puncture and aspiration of the cystic contents. Surgery is the treatment of choice for the cerebral hydatid cyst. However, in inoperable cases due to location and multiplicity, antihelminth medication is the only effective treatment. Albendazole is the better medication owing to its better resorption. It is administered orally at the dosage of 10–15 mg/kg/day.[2],[3] A study has also shown treatment by administrating Albendazole in high dosage of 17 mg/kg/day for 18 months.[4]

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Carrea R, Dowling E Jr, Guevara JA. Surgical treatment of hydatid cysts of the central nervous system in the pediatric age (Dowling's technique). Childs Brain 1975;1:4-21.  Back to cited text no. 1
    
2.
Stauga S, Schmiedel S. Inoperable cerebral alveolar echinococcosis controlled with high dosages of albendazole adjusted with monitoring of blood levels. J Travel Med 2012;19:198-201. 10.  Back to cited text no. 2
    
3.
Brunetti E, Kern P, Vuitton DA, Writing Panel for the WHO-IWGE. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop 2010;114:1-16.  Back to cited text no. 3
    
4.
Chen S, Li N, Yang F, Wu J, Hu Y, Yu S, et al. Medical treatment of an unusual cerebral hydatid disease. BMC Infect Dis 2018;18:12.  Back to cited text no. 4
    


    Figures

  [Figure 1]



 

Top
Print this article  Email this article
   
Online since 20th March '04
Published by Wolters Kluwer - Medknow