Temporoparietal Brain Hydatid Cyst in an Eight-Year-Old Child: A Rare Case Report.

IF 1.7 Q2 PEDIATRICS
Pediatric health, medicine and therapeutics Pub Date : 2022-11-10 eCollection Date: 2022-01-01 DOI:10.2147/PHMT.S390336
Gashaw Arega, Gelassa Merga, Getu Tafa, Fathia Omer Salah, Getnet Abebe, Seblewengel Maru, Wondwossen Ergete
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引用次数: 1

Abstract

Hydatidosis is a parasitic disease caused by Echinococcus granulosus, which affects children in many different parts of the world. It commonly affects the lungs and the liver of the children. Brain hydatidosis is an extremely rare clinical condition in the pediatric population, presenting with non-specific symptoms and signs. The diagnosis of intracranial hydatid cysts can be established by brain magnetic resonance imaging and histopathological examination of the specimen. Here, we report an 8-year-old female child diagnosed with a temporoparietal brain hydatid cyst. Brain magnetic resonance imaging showed a thin-walled cystic lesion located in the right temporoparietal lobe with significant mass effect and midline shift, with no abnormal wall or solid enhancement, and no surrounding edema. The diagnosis of brain temporoparietal hydatid cyst was made radiologically. The patient was operated on and the cyst was completely removed without rupture. The removed cyst was sent for histopathological examination; the histological sections showed a laminated acellular cyst wall with a nucleated germinal layer and no protoscolices, and the diagnosis of temporoparietal brain hydatid cyst was confirmed. The patient had a smooth postoperative course, started albendazole therapy, and was discharged with improvement.

Abstract Image

Abstract Image

Abstract Image

8岁儿童脑颞顶包虫病1例报道。
包虫病是由细粒棘球绦虫引起的一种寄生虫病,影响世界许多不同地区的儿童。它通常影响儿童的肺和肝。脑包虫病是一种极为罕见的临床疾病,在儿童人群中,表现为非特异性的症状和体征。颅内包虫囊肿的诊断可以通过脑磁共振成像和标本的组织病理学检查来确定。在此,我们报告一位8岁的女童被诊断为颞顶脑包虫囊肿。脑磁共振示位于右侧颞顶叶的薄壁囊性病变,肿块效应明显,中线移位,未见异常壁或实性强化,周围无水肿。对脑颞顶包虫病进行影像学诊断。病人接受了手术,囊肿被完全切除,没有破裂。切除后的囊肿行组织病理学检查;病理切片示层状脱细胞囊壁,有核生发层,无原脊柱突,诊断为脑颞顶包虫病。患者术后进展顺利,开始阿苯达唑治疗,出院时病情好转。
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