Alok Rahaf, Mahmoud Jaber
Faculty of Medicine, Damascus University, Damascus, Syria.
Department of Pediatrics, Faculty of Medicine, Damascus University, Damascus, Syria.
Case Rep Surg. 2020 Jan 23;2020:5645812. doi: 10.1155/2020/5645812. eCollection 2020.
Hydatid disease is a parasitic infestation, which is endemic in the Mediterranean region. It is often located in the liver and the lungs, whereas brain stem hydatid cysts are extremely rare. We report a case of a five-year-old female who presented with hemiparesis, and after investigations, she was diagnosed with a hydatid cyst in the pons. She also had cysts in her liver and kidney. The cerebral cyst was completely removed without rupture, using gentle water-jet dissection (Dowling's technique). She was feeling well after 4-month follow-up. We emphasize the importance of keeping hydatid cysts in the differential diagnosis of pediatric infratentorial cystic lesions.
包虫病是一种寄生虫感染,在地中海地区为地方病。它常位于肝脏和肺部,而脑干包虫囊肿极为罕见。我们报告一例5岁女性病例,该患者出现偏瘫,经检查后被诊断为脑桥有一个包虫囊肿。她的肝脏和肾脏也有囊肿。使用温和的水刀分离术(道林技术)完整切除了脑部囊肿且未破裂。经过4个月的随访,她感觉良好。我们强调在小儿幕下囊性病变的鉴别诊断中应考虑包虫囊肿的重要性。