Bahloul K, Ouerchefani N, Kammoun B, Boudouara M Z
Department of Neurosurgery, CHU Habib-Bourguiba, B.P. 37, Sakiet Ezzit, 3029 Sfax, Tunisia.
Neurochirurgie. 2009 Feb;55(1):53-6. doi: 10.1016/j.neuchi.2008.03.008. Epub 2008 Jun 30.
The differential diagnosis of intracranial brain cystic lesions, including malignant lesions, abscesses and cystic astrocytoma, can sometimes be difficult even when using a sophisticated imaging technique. This is particularly evident in certain rare lesions such as hydatid cysts. In fact, any imaging modality that can make the diagnosis can optimize conservative or surgical treatment and prevent unnecessary biopsy. A case of a six-year-old male with raised intracranial tension and rapid consciousness disturbance presumably caused by a left frontal hydatid cyst, surrounded by an unusual edema is reported. We concluded that intracranial hydatid cyst should be entertained whenever a cystic lesion is found in an endemic region.
颅内脑囊性病变的鉴别诊断,包括恶性病变、脓肿和囊性星形细胞瘤,有时即使使用先进的成像技术也可能很困难。这在某些罕见病变如包虫囊肿中尤为明显。事实上,任何能够做出诊断的成像方式都可以优化保守或手术治疗,并避免不必要的活检。本文报告了一例6岁男性患者,因左额叶包虫囊肿导致颅内压升高和意识迅速障碍,囊肿周围伴有异常水肿。我们得出结论,在地方病流行地区,一旦发现囊性病变,就应考虑颅内包虫囊肿。