Khan Muhammad Babar, Riaz Muhammad, Bari Muhammad Ehsan
Department of Surgery, Section of Neurosurgery, Aga Khan University Hospital, Karachi, Pakistan.
Surg Neurol Int. 2015 Jul 29;6:125. doi: 10.4103/2152-7806.161785. eCollection 2015.
Multiple cerebral hydatid cysts are very rare with only a few reports in the literature detailing diagnostic workup, medical management, surgical techniques, possible complications, and outcomes.
We present the case of an 8-year-old boy who presented with progressively worsening headaches, vomiting, and intermittent fever since 20 days. Diagnostic workup was performed, and magnetic resonance imaging revealed multiple intracranial cysts predominantly in the right frontal region with significant mass effect. A total of 19 intracranial cysts were removed surgically, and the child recovered uneventfully.
Neurosurgeons should keep hydatidosis in the list of differentials when evaluating patients with cystic diseases of the brain. Although the removal of such cysts is challenging, outcomes are excellent when cysts are evacuated without rupture and patients show complete resolution of symptoms.
多发性脑包虫囊肿非常罕见，文献中仅有少数报道详细描述了诊断检查、药物治疗、手术技术、可能的并发症及治疗结果。
我们报告一例8岁男孩的病例，该男孩自20天前开始出现头痛逐渐加重、呕吐及间歇性发热。进行了诊断检查，磁共振成像显示颅内多发囊肿，主要位于右侧额叶，有明显占位效应。手术共切除19个颅内囊肿，患儿恢复顺利。
神经外科医生在评估患有脑囊性疾病的患者时，应将包虫病列入鉴别诊断清单。尽管切除此类囊肿具有挑战性，但当囊肿在未破裂的情况下被清除且患者症状完全缓解时，治疗效果极佳。
