Hidatidosis cerebral: caso clínico y revisión de la literatura / Cerebral echinococcosis: Case report and literature review

La hidatidosis es una zoonosis causada por la larva del cestodo Echinococcus granulosus. La afectación cerebral en el ser humano es inusual, solo en el 1-2% de los casos se observa compromiso encefálico. Este cuadro se presenta fundamentalmente en población pediátrica y se caracteriza por la presencia de quistes únicos y uniloculares. A continuación, se presenta el caso de una paciente de 29 años que acude a urgencias por una cefalea invalidante de varias semanas de evolución. El estudio cerebral mediante imagen, revela la presencia de una masa de origen desconocido, siendo el diagnóstico final de quiste hidatídico bilobulado. A propósito de este caso, se revisarán los aspectos clínico-epidemiológicos, los diagnósticos y los tratamientos de la hidatidosis cerebral.(AU)

Echinococcosis is a zoonosis caused by the larval form of the cestode Echinococcus granulosus. The cerebral affectation in the human is uncommon; only in 1–2% cases is observed encephalic involvement. This condition occurs mainly in the pediatric population and it is characterized by the presence of single and unilocular cysts. We report a case of a 29-year-old patient who came to the emergency department with a disabling headache of several weeks of evolution. In the brain imaging study a mass of unknown origin was visualized, finally it turned out to be a bilobed hydatid cyst. Regarding this case, the clinic-epidemiological, diagnostics and treatments aspects of cerebral hydatid disease will be reviewed.(AU)

Cerebral echinococcosis: Case report and literature review.

Echinococcosis is a zoonosis caused by the larval form of the cestode Echinococcus granulosus. The cerebral affectation in the human is uncommon; only in 1-2% cases is observed encephalic involvement. This condition occurs mainly in the pediatric population and it is characterized by the presence of single and unilocular cysts. We report a case of a 29-year-old patient who came to the emergency department with a disabling headache of several weeks of evolution. In the brain imaging study a mass of unknown origin was visualized, finally it turned out to be a bilobed hydatid cyst. Regarding this case, the clinic-epidemiological, diagnostics and treatments aspects of cerebral hydatid disease will be reviewed.

Cerebral echinococcosis: Case report and literature review. / Hidatidosis cerebral: caso clínico y revisión de la literatura.

Echinococcosis is a zoonosis caused by the larval form of the cestode Echinococcus granulosus. The cerebral affectation in the human is uncommon; only in 1-2% cases is observed encephalic involvement. This condition occurs mainly in the pediatric population and it is characterized by the presence of single and unilocular cysts. We report a case of a 29-year-old patient who came to the emergency department with a disabling headache of several weeks of evolution. In the brain imaging study a mass of unknown origin was visualized, finally it turned out to be a bilobed hydatid cyst. Regarding this case, the clinic-epidemiological, diagnostics and treatments aspects of cerebral hydatid disease will be reviewed.

[Cerebral hydatid cyst: Clinical case and review of the literature]. / Quiste hidatídico cerebral: caso clínico y revisión de la literatura.

Hydatid disease is an accidental parasitosis, with brain location being rare. The case is reported of a 33year-old male, with no history of note, who was admitted to hospital with intracranial hypertension syndrome and right hemiparesis. Computed tomography showed a cystic lesion in the left frontal-parietal lobule. Surgery was performed by complete excision of the lesion, with a good outcome. Hydatid disease is a rare condition in the brain. Clinical suspicion is important for an early diagnosis. A review is presented on the pathogenesis, diagnosis and treatment of cerebral hydatid disease.

Hidatidosis cerebral sobreinfectada en la infancia: a propósito de un caso / Overinfected cerebral hydatid disease in childhood: report of a case

La hidatidosis es una enfermedad parasitaria en la que el hombre es un huésped intermediario accidental, portador de la forma larvaria de Echinococcus granulosus. La forma más frecuente de hidatidosis es la hepática, seguida de la pulmonar. La localización en el sistema nervioso central es rara. La gran mayoría de los quistes hidatídicos cerebrales han sido diagnosticados en niños. Los quistes localizados en este sitio presentan diferentes e interesantes características en su evolución y diagnóstico. Las manifestaciones clínicas están en relación a su localización, y al síndrome de hipertensión endocraneana que las lesiones ocasionan por efecto de masa y/o por la hidrocefalia que puedan condicionar. Se presenta el caso de un paciente de 10 años de edad que presenta un cuadro de cefalea, vómitos y hemiparesia braquiocrural izquierda de 48 h de evolución. Fue evaluado con métodos diagnósticos imagenológicos, bioquímicos y serológicos, logrando el diagnostico de hidatidosis cerebral múltiple sobreinfectada. Es intervenido quirúrgicamente, resecando dos quistes hidatídicos de 5 cm en diferentes tiempos quirúrgicos. Se realiza una revisión bibliográfica sobre el tema y se discute sus principales características clínicas, diagnóstico, tratamiento y pronóstico.

Hydatid disease is a parasitic disease in which the man is an accidental intermediate host, carrying the larval form of Echinococcus granulosus. The most common form of liver hydatid disease is followed by the lung. Locating in the central nervous system is rare. The vast majority of cerebral hydatid cysts have been diagnosed in children. Cysts located on this site have different and interesting features in its evolution and diagnosis. The clinical manifestations are related to their location, and intracranial hypertension syndrome that injuries cause by mass effect and / or hydrocephalus that may condition. We report the case of a patient aged 10 years presented symptoms of headache, vomiting and left hemiparesis braquio 48 hours of evolution. It was evaluated with diagnostic imaging methods, biochemical and serological, making the diagnosis of multiple cerebral hydatid superinfected. The patient underwent surgery, resecting two hydatid cysts of 5 cm in different surgical times. We review the literature on the subject and discusses its main clinical features, diagnosis, treatment and prognosis.