Department of Neurosurgery, Ibn Tofail Hospital, Mohammed VIth University Hospital, Faculty of Medicine and Pharmacy in Marrakech, Cadi Ayyad University, 334, Berradi 3, 40000 Marrakech, Morocco.
Department of Neurosurgery, Ibn Tofail Hospital, Mohammed VIth University Hospital, Faculty of Medicine and Pharmacy in Marrakech, Cadi Ayyad University, 334, Berradi 3, 40000 Marrakech, Morocco.
Neurochirurgie. 2022 Dec;68(6):618-626. doi: 10.1016/j.neuchi.2022.07.005. Epub 2022 Jul 27.
Hydatid disease is a parasitic infestation caused by Echinococcus granulosus, affecting both children and adults. Its intracranial form is extremely uncommon and can present a diagnostic and therapeutic challenge.
To analyze the clinical manifestations, radiological features and surgical outcomes in 21 pediatric patients with intracranial hydatidosis and to share our experience managing this pathology, with a review of relevant literature.
We report a case series of 21 pediatric patients operated on for intracranial hydatid cyst in the neurosurgical department of Ibn Tofail Hospital, Mohammed VI University Hospital, Marrakech, Morocco, between January 2012 and December 2019. We performed a comparison of our results with results from 18 case series in a review of the literature.
The most common presenting symptom was intracranial hypertension, followed by neurological deficit. Other symptoms included visual impairment, cranial nerve palsy and seizures. A computed tomography scan confirmed the diagnosis in all patients. Serological analysis was positive in 5 patients, all of whom had an associated extracerebral location. All patients were operated on successfully using the Arana Iniguez technique.
Intracranial hydatid disease should be suspected in case of intracranial hypertension in children and adolescents from endemic countries. The diagnosis is confirmed by head CT. Treatment is mainly surgical and prognosis is favorable. Prevention is the most effective way of addressing this disease and we therefore stress the importance of investing in population education and animal control.
包虫病是由细粒棘球绦虫引起的寄生虫感染，可影响儿童和成人。其颅内形式极为罕见，可能在诊断和治疗方面带来挑战。
分析 21 例儿童颅内包虫病的临床表现、影像学特征和手术结果，并结合相关文献，分享我们在治疗这种疾病方面的经验。
我们报告了 21 例在摩洛哥马拉喀什穆罕默德六世大学伊本·图菲勒医院神经外科接受颅内包虫囊肿手术的儿科患者的病例系列。我们将我们的结果与文献综述中的 18 个病例系列的结果进行了比较。
最常见的表现症状是颅内压增高，其次是神经功能缺损。其他症状包括视力障碍、颅神经麻痹和癫痫发作。所有患者的头部 CT 扫描均确诊。5 例患者的血清学分析呈阳性，均伴有脑外部位的包虫病。所有患者均成功采用 Arana Iniguez 技术进行手术。
在来自流行地区的儿童和青少年中，如果出现颅内压增高，应怀疑颅内包虫病。头部 CT 可确诊。治疗主要是手术，预后良好。预防是处理这种疾病最有效的方法，因此我们强调在人群教育和动物控制方面进行投资的重要性。
