Qadri Sumyra Khurshid, Hamdani Nissar Hussain, Bhat Abdul Rashid, Lone Mohammad Iqbal
Department of Pathology, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.
Department of General surgery, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.
Asian J Neurosurg. 2017 Apr-Jun;12(2):324-327. doi: 10.4103/1793-5482.145541.
Hydatid cysts constitute only 2% of all intracranial masses, commonly involve parenchyma and very rarely ventricles. Here, we report an unusual case of a primary, isolated intraventricular hydatid cyst that mimicked a tumor and presented as intraventricular hemorrhage with hydrocephalus in a boy, causing a diagnostic dilemma. Although, preoperative modalities like computed tomography, magnetic resonance image and serology generally help in establishing the diagnosis, but hydatid cysts with unusual localizations and atypical imaging findings may complicate the diagnosis and need be considered in the differential diagnosis of all cystic masses in all anatomic locations, especially in endemic areas, so as to reduce the patient morbidity and mortality.
包虫囊肿仅占所有颅内肿块的2%，通常累及脑实质，很少累及脑室。在此，我们报告一例罕见的原发性孤立性脑室内包虫囊肿病例，该囊肿酷似肿瘤，在一名男孩中表现为脑室内出血伴脑积水，导致诊断困难。尽管计算机断层扫描、磁共振成像和血清学等术前检查通常有助于确诊，但具有不寻常定位和非典型影像学表现的包虫囊肿可能会使诊断复杂化，在所有解剖部位的所有囊性肿块的鉴别诊断中都需要考虑，尤其是在流行地区，以降低患者的发病率和死亡率。
