Muhammad Ahmad, Alhayek Ahmad Rami, Rehawi Ahmad Abd Alhai, Hanna Yousef
Faculty of Medicine, University of Aleppo, Aleppo, Syria.
Department of Neurosurgery, Syrian Arab Republic Ministry of Health, Aleppo, Syria.
Int J Surg Case Rep. 2025 May;130:111256. doi: 10.1016/j.ijscr.2025.111256. Epub 2025 Apr 4.
Hydatid cyst disease is a zoonotic parasitic disease. The most common pathogen behind the disease is Echinococcus granulosus. The liver and lungs are the most common sites to occur, while primary intracranial cysts rarely occur.
A 32-year-old female patient in the 17th week of pregnancy presented with a chief complaint of a frontal headache that started a month ago and intensified ten days ago, the patient is living in a rural region and herding sheep. Neurological examination showed slowly reacting pupils, dysarthria, and right-sided ptosis. The investigation was suggestive of a diagnosis of hydatid cysts. Emergent surgery was performed and the cyst was removed. The clinical condition was followed up and she gave birth by cesarean section.
The hydatid cyst is a differential diagnosis of any cystic lesion in endemic regions to echinococcosis. MRI is the main investigation. The treatment of cerebral hydatid cysts is both medical and surgical. Surgical treatment should be considered whenever possible. Prompt diagnosis and treatment are crucial, considering that pregnancy can influence the available treatment options.
Here we report a successful treatment of cerebral hydatid cyst during pregnancy. The incidence of cerebral hydatid cysts during pregnancy is extremely low, and there is a lack of documentation on this condition.
包虫囊肿病是一种人畜共患的寄生虫病。该病最常见的病原体是细粒棘球绦虫。肝脏和肺是最常发病的部位，而原发性颅内囊肿很少见。
一名32岁的女性患者，怀孕17周，主诉一个月前开始出现额部头痛，十天前加重，该患者生活在农村地区，以牧羊为生。神经系统检查显示瞳孔反应迟钝、构音障碍和右侧上睑下垂。检查提示诊断为包虫囊肿。紧急进行了手术，切除了囊肿。对临床情况进行了随访，她通过剖宫产分娩。
在棘球蚴病流行地区，包虫囊肿是任何囊性病变的鉴别诊断之一。磁共振成像（MRI）是主要的检查手段。脑包虫囊肿的治疗包括药物治疗和手术治疗。只要有可能，就应考虑手术治疗。考虑到怀孕会影响可用的治疗选择，及时诊断和治疗至关重要。
在此我们报告了一例孕期脑包虫囊肿的成功治疗病例。孕期脑包虫囊肿的发病率极低，且关于这种情况的文献记载不足。
