Primary Intracranial Hydated Cysts: Report of Ten Cases
RaviShankar Prasad, Kulwant Singh and Vivek Sharma
World Journal of Surgical Research 2013, 2:4
Intracranial hydatid cyst is a rare disease, with reported incidence of 1-2% of all cases with hydatid disease. Hydatid disease is caused by infestation of larvae of Taenia echinococcus. Cerebral hydatid disease is more common in pediatric population but all patients in the present series were adults. The features of this disease are retrospectively analyzed in this presentation and the literature is reviewed.
Material and Method
The present study is a retrospective analysis of ten cases of intracranial hydatid cysts managed at SS Hospital BHU, Varanasi during 2009-2012. A detailed recording was made of the presenting features, neurological signs, investigations, type of surgery and outcome.
All patients presented with focal neurological deficit, seizure, and features of raised intracranial pressure, or brain stem compression. The mean age of presentation was 27 years. Radiological investigation was CT scan in nine cases and MRI was done in one case only. Four patients had multiple intracranial cysts while six had solitary cysts. In four cases cyst was located in parietal lobe out of which two were multiple, one was in suprasellar region, two in frontal region, one in the third ventricle, one in interhemispheric region which was multiple and one had multiple cysts occupying frontal, deep parietal and in posterior fossa of brain. Total excision of cyst was done in all the cases.
Intracranial Hydatid Cysts though rare but seen even in adults. A high index of suspicion and proper management can prevent life threatening consequences.
Hydatid, Intracranial, Cyst.