Lakhdar F, Arkha Y, Bougrine M, Derraz S, El Ouahabi A, El Khamlichi A
Département de neurochirurgie, hôpital des spécialités ONO, Rabat Institutes, BP 6444, Rabat, Maroc.
Neurochirurgie. 2010 Oct;56(5):391-4. doi: 10.1016/j.neuchi.2010.01.001. Epub 2010 Feb 6.
Hydatidosis is an endemic disease in Morocco. Cerebral echinococcosis is a relatively rare entity accounting for only 1-2% of all hydatid cysts in humans. Extradural hydatid cyst of the posterior fossa is a very uncommon site for the disease: only four cases have been reported in the literature. We report the case of a 37-year-old admitted for high intracranial pressure. Brain MRI showed an extradural and extracranial posterior fossa cyst without enhancement after contrast medium injection. Multiple hydatid cysts were removed and the histological examination of the tissue sample confirmed the diagnosis. The patient was given albendazole postoperatively with good follow-up 6 months later.
包虫病在摩洛哥是一种地方病。脑包虫病是一种相对罕见的病症，仅占人类所有包虫囊肿的1%-2%。后颅窝硬膜外包虫囊肿是该疾病非常罕见的发病部位：文献中仅报道过4例。我们报告了一名因颅内压增高入院的37岁患者的病例。脑部磁共振成像（MRI）显示后颅窝有一个硬膜外和颅外囊肿，注射造影剂后无强化。切除了多个包虫囊肿，组织样本的组织学检查确诊了病情。患者术后接受了阿苯达唑治疗，6个月后随访情况良好。
