Peripontomedullary hydatid cyst: Case report and literature review
| العنوان: | Peripontomedullary hydatid cyst: Case report and literature review |
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| المؤلفون: | Babar Butt, Afnan Alkhotani, Muhammad Khalid, Mohammed Binmahfoodh |
| المصدر: | International Journal of Surgery Case Reports |
| بيانات النشر: | Elsevier BV, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, Ataxia, Fossa, Hydatid cyst, Article, Peripontomedullary area, 03 medical and health sciences, 0302 clinical medicine, parasitic diseases, medicine, Cyst, Foramen magnum, biology, business.industry, Cranial nerves, biology.organism_classification, Cerebellopontine angle, medicine.disease, medicine.anatomical_structure, 030220 oncology & carcinogenesis, 030211 gastroenterology & hepatology, Surgery, Radiology, medicine.symptom, Presentation (obstetrics), business |
| الوصف: | Highlights • Hydatid cyst represents the parasitic infection by Genus Echenococcus Granulosis. The disease involves mainly Liver followed by lungs and rare involvement is seen in CNS. • When it is found in Brain it is usually present in supratentorial compartment rather than infratentorial compartment. The usual area is intracerebral hemisphere. They can be isolated cyst or multicystic. Involvement of Infratentorial compartment of CNS is extremely rare. • In this case report we are presenting a rare case of Multiple Hydatid cysts involving the peripontomedullary area and extending all the way down to the foramen magnum. Introduction: Hydatid cyst represents the parasitic infection by Genus Echenococcus Granulosis. This disease usually involves liver followed by lungs and rarely the CNS. The CNS involvement by the Hydatid Cyst is present in 1–2% of all hydatidosis. Even when it is found in the Brain it presents usually in the supratentorial compartment. However this case was unique in having the Hydatid cyst within the infratentorial fossa. With multiple small cysts, causing mass effect and challenging for surgical resection. Presentation: A 44 years female presented with headache, diplobia and bulbar symptoms, followed by ataxia. Full examination, proper investigations showed the peripontomedullary hydatid cysts. Surgical management is illustrated. Discussion: It is still challenging for the neurosurgeons to operate on these lesions in spite of modern technologies and fancy approaches due to its delicate nature, associated risk of allergic reaction, cyst’s material dissemination and irreversible injury of multiple neurological structure due to prolonged compression of cranial nerves crossing the cerebellopontine angle. Conclusion: In this case report we are presenting a rare case of Multiple Hydatid cysts involving a rare location in the brain; peripontomedullary area and extending all the way down to the foramen magnum. Supported with a literature review in relation to disease etiology, epidemiology, clinical presentation and management. |
| تدمد: | 2210-2612 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d402121c78afefce8b97f127e71f6aafTest https://doi.org/10.1016/j.ijscr.2019.01.003Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....d402121c78afefce8b97f127e71f6aaf |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22102612 |
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