Hmada Saad, Mesbahi Tarek, Jehri Abdelhamid, Jouida Abla, Naja Abdessamad, Amenzoui Naima, Lakhdar Abdelhakim
Neurosurgery Department, University Hospital Center IBN Rochd, Casablanca, Morocco.
Pediatric Department, University Hospital Center Abderrahim Harouchi, Casablanca, Morocco.
Ann Med Surg (Lond). 2022 May 18;78:103806. doi: 10.1016/j.amsu.2022.103806. eCollection 2022 Jun.
Cerebral hydatid cyst is rare (2%), and mainly affects children. We report 2 cases aged 5 years. The clinical symptomatology was dominated by intracranial hypertension syndrome and motor deficit in both cases. One patient presented a generalized tonic-clonic seizure, the second one presented a left central facial palsy. The diagnosis was made in both cases by brain CT scan and one patient underwent brain MRI. A radiological workup to look for extra-cerebral localization was performed for all patients, which was normal. The treatment was surgical for both patients (D'ARANA-INIGUEZ hydro pulsion technique) with simple after-effects. The postoperative CT scan showed a residual cavity. All our patients were put under antiparasitic treatment with Albendazole.
脑包虫囊肿较为罕见（2%），主要影响儿童。我们报告了2例5岁患儿。两例的临床症状均以颅内高压综合征和运动功能障碍为主。其中1例出现全身性强直阵挛发作，另1例出现左侧中枢性面瘫。两例均通过脑部CT扫描确诊，1例患者还接受了脑部MRI检查。对所有患者均进行了影像学检查以寻找脑外定位情况，结果均正常。两名患者均接受了手术治疗（D'ARANA - INIGUEZ水压冲洗技术），术后后遗症轻微。术后CT扫描显示有残留腔隙。所有患者均接受了阿苯达唑抗寄生虫治疗。
