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脑干包虫囊肿:棘球蚴病最罕见的发病部位。

Hydatid cyst of the brainstem: The rarest of the rare locations for echinococcosis.

作者信息

Gader Ghassen, Slimane Abdelhafidh, Sliti Firas, Kherifech Mansour, Belhaj Ala, Bouhoula Asma, Kallel Jalel

机构信息

University of Tunis-El Manar, Faculty of Medicine of Tunis. Department of Neurosurgery, Trauma and Burns Center, Ben Arous, Tunisia.

University of Tunis-El Manar, Faculty of Medicine of Tunis. Department of Neurosurgery, National Institute of Neurology, Tunis, Tunisia.

出版信息

Radiol Case Rep. 2024 Jul 30;19(10):4422-4425. doi: 10.1016/j.radcr.2024.07.010. eCollection 2024 Oct.

Abstract

Hydatidosis, caused by the larval stage of Echinococcus granulosus, is a zoonotic disease typically affecting the liver and lungs. Cerebral localizations are rare, especially in the brainstem. We present a case of a 9-year-old boy with a brainstem hydatid cyst. The patient exhibited progressive walking difficulties and limb impairment. MRI revealed a brainstem mass consistent with a hydatid cyst. Due to the lesion's size and location, surgical intervention was necessary. The cyst was decompressed and removed without complications, followed by albendazole treatment. Postoperative recovery was uneventful, and the patient showed no signs of recurrence after 2 years. This case highlights the importance of early diagnosis, precise surgical techniques, and thorough postoperative care in managing rare cerebral hydatid cysts.

摘要

包虫病由细粒棘球绦虫的幼虫阶段引起,是一种人畜共患疾病,通常影响肝脏和肺部。脑部定位罕见,尤其是在脑干。我们报告一例9岁男孩脑干包虫囊肿病例。患者表现为进行性行走困难和肢体功能障碍。磁共振成像显示脑干有一肿块,符合包虫囊肿表现。由于病变的大小和位置,手术干预是必要的。囊肿减压并切除,无并发症,随后给予阿苯达唑治疗。术后恢复顺利,患者2年后无复发迹象。该病例强调了早期诊断、精确手术技术及全面术后护理在处理罕见脑包虫囊肿中的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e149/11342087/fd5da673d097/gr1.jpg

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