Department of Neurosurgery, UHC Habib Bourguiba, Sfax, Tunisia.
Department of Parasitology and Mycology, UHC Habib Bourguiba, Sfax, Tunisia.
Childs Nerv Syst. 2024 Feb;40(2):321-325. doi: 10.1007/s00381-023-06189-4. Epub 2023 Oct 19.
Hydatid disease is very common around the Mediterranean basin and endemic in some parts of the world. Cerebral involvement remains rare, represents only about 2% of all hydatid localizations and mainly affects the pediatric population. Extradural hydatid cyst is very rare or even exceptional when it is associated with or followed by intracerebral disseminations. Here, the authors report a new exceptional case of an early multiple intra-axial hydatid dissemination in a 5-year-old North African male patient from a rural area who underwent surgery 3 months after a primary osteolytic extradural and complicated hydatid cyst with good clinical and radiological outcomes.
包虫病在地中海盆地周围非常常见，在世界上一些地区流行。脑内受累仍然很少见，仅占所有包虫病定位的约 2%，主要影响儿科人群。当硬膜外包虫囊肿与脑内播散相关或随后发生脑内播散时，非常罕见，甚至是例外。在这里，作者报告了一例新的罕见病例，一名来自农村地区的 5 岁北非男性患者，在原发性溶骨性硬膜外和复杂包虫囊肿 3 个月后，出现早期多发颅内轴内播散，手术治疗后临床和影像学结果良好。
