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CC BY-NC-ND 4.0 · Asian J Neurosurg 2023; 18(02): 372-376
DOI: 10.1055/s-0043-1768600
Case Report

Isolated Cerebral Cyst Hydatid Removal with Dowling's Technique in a 6-Year-Old Pediatric Patient: Case Report

Yigit Can Senol 
1   Department of Neurosurgery, Ankara Bilkent City Hospital, Ankara, Turkey
2   Department of Pathology, Ankara Bilkent City Hospital, Ankara, Turkey
,
Naime Dilara Ozkan
1   Department of Neurosurgery, Ankara Bilkent City Hospital, Ankara, Turkey
,
Servet Guresci 
2   Department of Pathology, Ankara Bilkent City Hospital, Ankara, Turkey
,
Ergun Daglioglu 
1   Department of Neurosurgery, Ankara Bilkent City Hospital, Ankara, Turkey
,
Ahmet Deniz Belen
1   Department of Neurosurgery, Ankara Bilkent City Hospital, Ankara, Turkey
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Abstract

Hydatid disease, caused by the Echinococcus parasite, is a worldwide zoonosis produced by the larval stage of the tapeworm. In urban living patients with cerebral abscesses, hydatid cysts should not be excluded from the differential diagnosis. We report an exceptional primary cerebral hydatid cyst in which imaging showed a large, round, contrast-enhancing lesion with a mass effect. The patient presented with a dull headache for over a year and progressively worsened left hemiparesis. The magnetic resonance imaging showed a huge intracranial mass, and the pathology was corrected with cyst hydatid. Surgery was performed via Dowling's technique, and the patient recovered without neurologic deficits. Echinococcosis should be considered a differential diagnosis for single or multiple cerebral abscesses, even in the absence of liver infections. The history of living in rural areas does not exclude cerebral hydatid cysts and Echinococcus.

Keywords

hydatid cyst - Echinococcus - cerebral abscess - pediatric - Dowling's technique


Publication History

Article published online:
07 June 2023

© 2023. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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