• Mumtaz Ali
  • Khalid Mahmood
  • Pervez Khan


Background: Brain involvement with hydatid disease occurs in 1–2% of all Echinococcus granulosusinfections. Cerebral hydatid cysts are usually supratentorial, whereas infratentorial lesions are quiterare. Objective of the study was to determine the clinical presentation and surgical outcome of cranialhydatidosis. Methods: This retrospective study was performed in the department of neurosurgery LRHPeshawar from December 2000 to Oct 2007. Twenty one cases with intracranial hydatidosis wereoperated. The patients were either admitted through OPD or referred from other units. CT and/or MRIwere the imaging modalities to reach the diagnosis in addition to serological and haematological tests.Surgery was the only treatment option used. Pericystic hydraulic method was the technique used for theexcision of the hydatid cyst of brain. Results: There were 9 males and 12 females with male to femaleratio of 1:1.3. All patients belonged to paediatric age group with age range of 3–14 years and mean ageof 7.42±3.2 years. Headache, vomiting, papilloedema were present in all the patients while seizureswere the present in 16 patients. The lesion was removed surgically by adopting pericystic hydraulicmethod during craniotomy in all cases. There was no intra-operative morbidity except that the cystruptured in one case. No postoperative complications were noted and there was no mortality.Conclusion: Hydatid cyst of the brain presents clinically as intracranial space occupying lesion and ismore common in children. Surgery is the treatment option with affordable morbidity and low mortality.Keywords: Cerebral hydatid cyst, Echinococcosis, Intracranial hydatidosis


Akdemir G, Dağlıoğlu E, Seçer M, Ergüngör F. Hydatid cysts of

the internal acoustic canal and jugular foramen. Journal of

Clinical Neuroscience 2007;14( 4):394–6.

Ciurea AV, Fountas KN, Coman TC, Machinis TG, Kapsalaki

EZ, Fezoulidis NI, et al. Long-term surgical outcome in patients

with intracranial hydatid cyst. Acta Neurochir (Wien)


Onal C, Erguvan-Onal R, Yakinci C, Karayol A, Atambay M,

Daldal N. Can the requirement of a diversion procedure be

predicted after an uncomplicated intracranial hydatid cyst

surgery? Pediatr Neurosurg 2006;42(6):383–6.

Akar R, Eryilmaz S, Yazicioglu L. Surgery for cardiac hydatid

Disease: an Anatolian experience. Anadolu Kardiyol Derg


Boudawara MZ, Jemel H, Ghorbel M, Triki C, Soussi R, Ben Ali

H, et al. Hydatid cysts of the brain stem. Two cases.[Article in

French]. Neurochirurgie 1999;45:321–4.

Andronikou S, Welman CJ, Kader E. Classic and unusual

appearances of hydatid disease in children. Pediatr Radiol


Daskas N, Aggelopoulos E, Tzoufi M, Kosta P, Siamopoulou

A, Argyropoulou MI. Accidental drainage of a cerebral hydatid

cyst into the peritoneal cavity. Pediatr Infect Dis J 2004

Jul;23(7):685–6. Comment in: Pediatr Infect Dis J


Evliyaoğlu C, Keskil S. Possible spontaneous "birth" of a hydatid

cyst into the lateral ventricle. Childs Nerv Syst 2005;21:425–8.

Rumana M, Mahadevan A, Nayil Khurshid M, Kovoor JM,

Yasha TC, Santosh V et al. Cestode parasitic infestation:

intracranial and spinal hydatid disease--a clinicopathological

study of 29 cases from South India. Clin Neuropathol.


Dharker SR: Hydatid disease. In: Ramamurthi B, Tandon PN

(eds) Text Book of Neurosurgery, 2nd edition. New Delhi:

Churchill Livingstone;1996.p. 535–44.

el Khamlichi A, el Ouahabi A, Amrani F, Assamti O.

Development of intracerebral hydatid cyst evaluated with x-ray

computed tomography. A case report. [Article in French].

Neurochirurgie 1990;36:312–4.

Paşaoğlu A, Orhon C, Akdemir H. Multiple primary hydatid

cysts of the brain. Turk J Pediatr 1989;31:57–61.

Kemaloğlu S, Ozkan U, Bükte Y, Acar M, Ceviz A. Growth rate

of cerebral hydatid cyst, with a review of the literature. Childs

Nerv Syst 2001;17:743–5.

Dhiman DS, Sharama YP, Sarin NK, Thakur RC. Radiological

Quiz: Neuroradiology. Ind J Radiol Imag 1999;9(2):77–8.

Gupta S, Desai K, Goel A. Intracranial hydatid cyst: a report of

five cases and review of literature. Neurol India 1999;47:214–7.

Abu-Eshy SA. Some rare presentations of hydatid cyst

(Echinococcus granulosus). J R Coll Surg Edinb


Turgut M. Hydatidosis of central nervous system and its

coverings in the pediatric and adolescent age groups in Turkey

during the last century: a critical review of 137 cases. Childs

Nerv Syst 2002;18(12):670–83.

Onal C, Unal F, Barlas O, Izgi N, Hepgul K, Turantan MI, et al.

Long-term follow-up and results of thirty pediatric intracranial

hydatid cysts: half a century of experience in the Department of

Neurosurgery of the School of Medicine at the University of

Istanbul (1952–2001). Pediatr Neurosurg 2001;35:72–81.

Lunardi P, Missori P, Di Lorenzo N, Fortuna A. Cerebral

hydatidosis in childhood: a retrospective survey with emphasis

on long-term follow-up. Neurosurgery 1991;29:515–7.

Ersahin Y, Mutluer S, Guzelgag E. Intracranial hydatid cysts in

children. Neurosurgery 1993;33:219–24.

Aydin MD, Ozkan U, Altinörs N. Quadruplets hydatid cysts in

brain ventricles: a case report. Clin Neurol Neurosurg




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