Ijaz Lubna, Mirza Bilal, Nadeem Malik Muhammad, Saleem Muhammad
Department of Pediatric Neurosurgery, The Children's Hospital and the Institute of Child Health, Lahore.
Department of Pediatric Surgery, The Children's Hospital and the Institute of Child Health, Lahore.
J Coll Physicians Surg Pak. 2015 Apr;25 Suppl 1:S53-5.
While hepatic hydatid cysts are most common in occurrence, intracranial hydatid cyst is less common. Simultaneous presence of both varieties is quite rare and poses a challenge for management in terms of involvement of multidisciplinary team and multiple interventions. An 8-year boy presented with neurological symptoms of a space occupying lesion. There was also hepatomegaly. Radiological investigations revealed giant hydatid cysts involving left cerebral hemisphere and left lobe of liver. Cerebral hydatid cyst was operated first by pediatric neurosurgeons. After 10 days of stabilization period, hepatic lesion was removed by pediatric surgeons. Patient showed uneventful recovery and discharged on oral albendazole for 6 months. There was no recurrence at follow-up.
虽然肝包虫囊肿最为常见，但颅内包虫囊肿则较为少见。两种类型同时存在极为罕见，在多学科团队参与及多种干预措施方面给治疗带来了挑战。一名8岁男孩出现占位性病变的神经症状，同时伴有肝肿大。影像学检查显示巨大包虫囊肿累及左脑半球和肝脏左叶。小儿神经外科医生首先对脑包虫囊肿进行了手术。在为期10天的稳定期过后，小儿外科医生切除了肝脏病变。患者恢复顺利，出院时口服阿苯达唑6个月。随访期间无复发。
