Multiple cerebral hydatidosis
DOI:
https://doi.org/10.59156/revista.v39i02.707Keywords:
Albendazole, cerebral hydatidosis, Dowling technique, Echinococcus granulosusAbstract
Background: hydatidosis is a zoonosis caused by the parasite Echinococcus granulosus, with a high prevalence in various regions of the world. The main organs affected are the liver and lungs, with cerebral localization being rare, representing only 2% of cases.
Objectives: to describe a case of multiple cerebral hydatidosis and analyze the published literature.
Case description: we present the case of a 16-year-old male patient from a rural area with headache, hemiparesis, and difficulty walking for 3 months. Imaging studies revealed multiple bilateral cerebral cysts, as well as cardiac, renal, pancreatic, and muscle cysts. The diagnosis of hydatidosis was based on imaging studies, serological tests, and pathological anatomy.
Surgery: six cerebral cysts were surgically removed using the Dowling technique. The patient recovered without complications, and albendazole treatment continued postoperatively.
Conclusion: multiple cerebral hydatidosis without liver or lung involvement is an extremely rare presentation. Early diagnosis and a multidisciplinary approach, including medical and surgical treatment, are essential for the successful management of this condition.
Downloads
References
Gautam S, Sharma A. Intracranial hydatid cyst: A report of three cases in North-West India. J Pediatr Neurosci, 2018; 13(1): 91-5. Doi: 10.4103/JPN.JPN_141_17.
Tapia EO, Vidal TA, Antonio PL. Hidatidosis cerebral: aspectos clínicos e imagenológicos. Reporte de 4 casos. Rev Med Chile, 2012; 140: 358-63. Doi: 10.4067/S0034-98872012000300012.
Manzano-Román R, Sánchez-Ovejero C, Hernández-González A, Casulli A, Siles-Lucas M. Serological diagnosis and follow-up of human cystic echinococcosis: A new hope for the future? Biomed Res Int, 2015; 2015: 428205. Doi: 10.1155/2015/428205.
Miranda E, Sánchez E, Náquira C, Somocursio J, Ayala E, Miranda G. Evaluación de una prueba de aglutinación de látex para el diagnóstico serológico de la equinococosis quística. Rev Perú Med Exp Salud Pública, 2009; 26: 198-202.
Belhassen-Garcia M, Balboa Arregui Ó, Calabuig-Muñoz E, Carmena D, Velasco MCE, Fuentes-Gago M, et al. Executive summary of the Consensus Statement of the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC), the Spanish Society of Tropical Medicine and International Health (SEMTSI), the Spanish Association of Surgeons (AEC), the Spanish Society of Pneumology and Thoracic Surgery (SEPAR), the Spanish Society of Thoracic Surgery (SECT), the Spanish Society of Vascular and Interventional Radiology (SERVEI), and the Spanish Society of Paediatric Infectious Diseases (SEIP), on the management of cystic echinococcosis. Enferm Infecc Microbiol Clin (Engl Ed), 2020; 38: 283-8. Doi: 10.1016/j.eimce.2019.10.007.
Acha-Sánchez JL, Yaya-Loo HJ, Chipana-Sotomayor ME. Quiste hidatídico cerebral: caso clínico y revisión de la literatura. Neurocirugía, 2017; 28: 207-10. Doi: 10.1016/j.neucir.2016.11.001.
Álvarez-Martínez MJ, Belhassen-García M, Flores-Chavez MD, Pérez de Ayala ASE. Diagnóstico de parasitosis importadas en España. Procedimientos en Microbiología Clínica SEIMC. 2020. [Consultado 20 Dic 2024]. Disponible en: https://seimc.org/contenidos/documentoscientificos/procedimientosmicrobiologia/seimc_procedimiento69.pdf.
Derfoufi O, Akwa EN, Elmaataoui A, Miss E, Esselmani H, Lyagoubi M, et al. Profil épidémiologique de l’hydatidose au Maroc de 1980 à 2008. Ann Biol Clin (Paris), 2012; 70(4): 457-61. Doi: 10.1684/abc.2012.0727.
Armiñanzas C, Gutiérrez-Cuadra M, Fariñas MC. Hidatidosis: aspectos epidemiológicos, clínicos, diagnósticos y terapéuticos. Rev Esp Quimioter, 2015; 28(3): 116-24.
Carcavilla LI, Cantero J, Gómez J, Alberdi J, Eiras J, Cáceres A, et al. Hidatidosis cerebral múltiple bilateral. Aportación de un caso. Neurocirugía, 1997; 8(1): 60-4. Doi: 10.1016/S1130-1473(97)71059-5.
Arana-Iñiguez R, Rodríguez Barrios R, San Julián J. Nueva técnica para la extirpación del quiste hidatídico cerebral. Bol Soc Cir Urug, 1951; 22: 239-46. Doi:10.46763/BSCU_1951_22_239.
Carrea R, Dowling EJ, Guevara JA. Surgical treatment of hydatic cysts of the central nervous system in pediatric age (Dowling's technique). Child Brain, 1975; 1: 4-21. Doi:10.1016/0040-5809(75)90005-X.
Turnes AL. La hidatidosis en el Río de la Plata: una revisión de algunos hitos a través de tres siglos / Hydatidosis in the Rio de la Plata: a review of some milestones through three centuries. Montevideo: Comisión de Zoonosis; 2014 Mar, 340 p.
Trueba-Argamasilla AA, Iborra-Bendicho MA, Simón-Páez M, Ros-de San Pedro J, Segovia-Hernández M. Hidatidosis cerebral: caso clínico y revisión de la literatura. Enferm Infecc Microbiol Clin, 2023; 41(2): 107-10. Doi:10.1016/j.eimc.2021.07.006.
Garg M, Sarma P, Chaturvedi S, Pant I. Multiple primary bilateral cerebral echinococcosis in an adult: A neurological rarity. Asian J Neurosurg, 2022; 17(4): 647-50. Doi: 10.1055/s-0042-1757725.
