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巨大脑包虫囊肿伴脑室扩展:一例罕见病例报告及影像学表现

Giant cerebral hydatid cyst with intraventricular extension: A rare case report with imaging findings.

作者信息

Paudel Binod, Sharma Sushil, Yadav Sunil, Kafle Pramod Kumar, Gautam Bodhraj, Gurung Ashim, Sharma Rajan Kumar

机构信息

Department of Internal Medicine, Pokhara Academy of Health Sciences, Pokhara, Nepal.

Department of Internal Medicine, Parbat District Hospital, Parbat, Nepal.

出版信息

Radiol Case Rep. 2024 Sep 24;19(12):6230-6234. doi: 10.1016/j.radcr.2024.09.040. eCollection 2024 Dec.

Abstract

Hydatid cyst is the condition caused by larvae of the parasite Echinococcus granulosus, usually involving the liver, lung, and spleen. Involvement of the cerebrum with a hydatid cyst is a rare entity, comprising 2%-3% of all cases of hydatidosis. Intraventricular extension of cerebral hydatid cysts occurs in only a limited percentage of cases. Cerebral hydatid cysts can present with nonspecific symptoms, usually with features of raised intracranial pressure. Therefore, it is crucial to consider cerebral hydatid cysts as a potential diagnosis, especially in pediatric patients with nonspecific neurological symptoms, particularly those from areas endemic to the parasite. We report a case of a 9-year-old girl who presented with progressive headache and vomiting, with imaging findings suggestive of a giant hydatid cyst in the brain. She was managed surgically with a good outcome.

摘要

包虫囊肿是由细粒棘球绦虫幼虫引起的疾病,通常累及肝脏、肺和脾脏。脑包虫囊肿是一种罕见的情况,占所有包虫病病例的2%-3%。脑包虫囊肿仅在有限比例的病例中发生脑室扩展。脑包虫囊肿可表现为非特异性症状,通常伴有颅内压升高的特征。因此,将脑包虫囊肿作为一种潜在诊断至关重要,尤其是对于有非特异性神经症状的儿科患者,特别是来自寄生虫流行地区的患者。我们报告一例9岁女孩,她出现进行性头痛和呕吐,影像学检查结果提示脑内有巨大包虫囊肿。她接受了手术治疗,效果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb3e/11461940/71e6721d736e/gr1.jpg

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