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CC BY-NC-ND 4.0 · Asian J Neurosurg 2015; 10(04): 322-324
DOI: 10.4103/1793-5482.162719
CASE REPORT

Giant hydatid cyst in the posterior fossa of a child

Fakhr Fakhouri
Division of Neurosurgery, Department of Surgery, Aleppo University Hospital, Aleppo
,
Abdelwahed Ghajar
1   Associated Professor of Neurosurgery and Chief of Division of Neurosurgery, Department of Surgery, Aleppo University Hospital, Aleppo
,
Nihad Mahli
2   Professor of General Surgery and Chief of Department of Surgery, Aleppo University Hospital, Aleppo
,
Nihad Shoumal
3   Neurosurgery resident, Division of Neurosurgery, Department of Surgery, Aleppo University Hospital, Aleppo
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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.

Key-words:

Children - Dowling's technique - elevated intracranial pressure - hydatid cyst - posterior fossa


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Artikel online veröffentlicht:
22. September 2022

© 2015. 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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