Display options
Share it on

Asian J Neurosurg. 2015 Oct-Dec;10(4):322-4. doi: 10.4103/1793-5482.162719.

Giant hydatid cyst in the posterior fossa of a child.

Asian journal of neurosurgery

Fakhr Fakhouri, Abdelwahed Ghajar, Nihad Mahli, Nihad Shoumal

Affiliations

  1. Division of Neurosurgery, Department of Surgery, Aleppo University Hospital, Aleppo, Syria.
  2. Associated Professor of Neurosurgery and Chief of Division of Neurosurgery, Department of Surgery, Aleppo University Hospital, Aleppo, Syria.
  3. Professor of General Surgery and Chief of Department of Surgery, Aleppo University Hospital, Aleppo, Syria.
  4. Neurosurgery Resident, Division of Neurosurgery, Department of Surgery, Aleppo University Hospital, Aleppo, Syria.

PMID: 26425166 PMCID: PMC4558813 DOI: 10.4103/1793-5482.162719

Abstract

The hydatid cyst (HC) is endemic in Mediterranean region including Syria. The central nervous system is involved in 2-3% of cases. HC in cerebellum is very rare. We report a case that presented as an emergency for high intracranial pressure and deteriorating Glascow coma scale. Close monitoring and precise surgical management using Dowling's technique resulted in very good outcome with full recovery. We highlight the need for very careful surgical treatment because cyst rupture and secondary hydatidosis due to spillage of the cyst contents can dramatically worsen the outcome. HC should be taken into consideration in countries where hydatid infestation is endemic.

Keywords: Children; Dowling's technique; elevated intracranial pressure; hydatid cyst; posterior fossa

References

  1. Acta Ophthalmol (Copenh). 1991 Dec;69(6):802-4 - PubMed
  2. Neurosurgery. 1993 Aug;33(2):219-24; discussion 224-5 - PubMed
  3. Med Mal Infect. 2007 May;37(5):281-3 - PubMed
  4. Surg Neurol. 1986 Sep;26(3):297-300 - PubMed
  5. Acta Neurochir (Wien). 2006 Apr;148(4):421-6 - PubMed
  6. Neurol India. 2006 Mar;54(1):100-1 - PubMed
  7. AJNR Am J Neuroradiol. 1990 Nov-Dec;11(6):1249-50 - PubMed
  8. J Neurosci Nurs. 1999 Oct;31(5):270-7 - PubMed
  9. Med Lett Drugs Ther. 1995 Nov 10;37(961):99-108 - PubMed
  10. Pediatr Neurosurg. 2001 Aug;35(2):72-81 - PubMed
  11. Childs Brain. 1975;1(1):4-21 - PubMed
  12. Neurosurgery. 1991 Oct;29(4):515-7; discussion 517-8 - PubMed
  13. Med Mal Infect. 2006 Aug;36(8):434-7 - PubMed
  14. Pediatr Neurosurg. 1997 Apr;26(4):208-13 - PubMed
  15. Radiographics. 2003 Mar-Apr;23 (2):475-94; quiz 536-7 - PubMed
  16. J Neurosurg. 1985 May;62(5):781-2 - PubMed
  17. Neurol India. 1970 Dec;18:Suppl 1:92-5 - PubMed
  18. Neurochirurgie. 1992;38(1):46-9 - PubMed
  19. Med Clin (Barc). 1991 Jun 22;97(4):125-32 - PubMed

Publication Types