Tunis Med. 2022;100(1):56-59.
Hydatidosis is an endemic parasitosis in Tunisia that affect mostly the liver and the lung. Brain involvment is rare.
To focus on diagnostic, therapeutic and evolutive characteristics of cerebral hydatidosis.
We report all cases of cerebral hydatidosis seen in the infectious diseases and neurosurgery departments between January 2013 and June 2020.
Six cases of intracranial hydatid cyst were reported. The male to female ratio was 3:3. Age ranged from 3 to 60 years with a median age of 20,5 years. All patients lived in rural areas. The clinical symptomatology was progressive in 4 cases. It was dominated by headache (all cases). Brain imaging confirmed the diagnosis in all cases. The hydatid cyst was solitary and supratentorial in 3 cases. All the patients were operated. Albendazole was prescribed immediately after surgery, for 6 months in 5 cases and for 3 years in the case of disseminated hydatidosis. The outcome was favorable without recurrence in all patients with an average follow-up of 3,5 ± 0,5 years.
Hydatid cyst of the brain is characterized by the severity of the neurological signs, the mandatory use of surgery because of life threatening and the excellent outcomes.
包虫病是突尼斯的一种地方性寄生虫病，主要影响肝脏和肺部。脑受累很少见。
重点关注脑包虫病的诊断、治疗和演变特征。
我们报告了 2013 年 1 月至 2020 年 6 月期间传染病科和神经外科收治的所有脑包虫病患者。
报告了 6 例颅内包虫囊肿病例。男女比例为 3:3。年龄从 3 岁到 60 岁不等，中位数年龄为 20.5 岁。所有患者均居住在农村地区。4 例患者的临床症状呈进行性加重。主要表现为头痛（所有病例）。脑影像学检查均确诊。3 例为单发、幕上包虫囊肿。所有患者均接受手术治疗。术后立即给予阿苯达唑治疗，5 例患者治疗 6 个月，1 例播散性包虫病患者治疗 3 年。所有患者的预后均良好，无复发，平均随访 3.5 ± 0.5 年。
脑包虫囊肿的特点是神经体征严重，因危及生命而必须采用手术治疗，且预后良好。
