儿童颅内硬脑膜两层之间原发性包虫囊肿的罕见病例：一例报告
A rare entity of primary hydatid cyst located between the two layers of the intracranial dura in a child: a case report.
作者信息
Kadri Hassan, Dughly Mazen, Abouharb Raed, Bakleh Sameer, Mackieh Rostom
机构信息
Department of Neurosurgery, Children's University Hospital, Faculty of Medicine, Damascus University, Damascus, Syria.
Department of Neuroradiology Damascus National Hospital (DNH), Damascus, Syria.
出版信息
Oxf Med Case Reports. 2023 Dec 19;2023(12):omad107. doi: 10.1093/omcr/omad107. eCollection 2023 Dec.
INTRODUCTION
Hydatid disease is a parasitic infection caused by the tapeworm . Intracranial locations are rare and account for less than 3% of all cases. Typically, these cysts are found in the intracerebral spaces. However, this study presents an extremely rare intradural hydatid cyst. To our knowledge no similar case has been previously reported.
CASE PRESENTATION
This study presents the case of an 8-year-old boy presented with a 3-month history of headache and vomiting without any neurological deficit. Full radiological investigations were performed, the brain MRI showed a large cerebral hydatid cyst located within the dura layers between the periosteal and the endosteal layers. Surgery was performed without cyst rupture, confirming the intracerebral intradural location.
CONCLUSION
Early diagnosis and treatment for intracranial hydatid cysts are crucial to prevent complications such as neurological deficits, seizures, and even death. In this case, the intracerebral intradural location of the cyst is extremely rare.
引言
包虫病是一种由绦虫引起的寄生虫感染。颅内感染部位罕见，占所有病例的比例不到3%。通常，这些囊肿见于脑内间隙。然而，本研究报告了一例极为罕见的硬脊膜内包虫囊肿。据我们所知，此前尚无类似病例报道。
病例介绍
本研究报告了一名8岁男孩的病例，该男孩有3个月的头痛和呕吐病史，无任何神经功能缺损。进行了全面的影像学检查，脑部磁共振成像显示一个大的脑包虫囊肿位于骨膜层和内膜层之间的硬脑膜层内。手术时囊肿未破裂，证实为脑内硬脊膜内位置。
结论
颅内包虫囊肿的早期诊断和治疗对于预防神经功能缺损、癫痫发作甚至死亡等并发症至关重要。在本病例中，囊肿的脑内硬脊膜内位置极为罕见。
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