A Rare Cause Of Headache: Giant Cerebral Hydatid Cyst

Yıl 2016, , 15 - 17, 31.05.2016

Mustafa Reşorlu , Gürhan Adam Fatma Uysal Serçin Baş Erdal Ayvaz Hüseyin Özdemir

https://doi.org/10.30934/kusbed.358570

Öz

Hydatid cyst is a parasitic disease involving the liver especially common in countries where animal husbandry is widespread. Echinococcus granulosus subgroup is the most common cause of this disease in humans. Clinical signs can vary according to the affected organ and cyst size. It is seen very rare in the brain and it often affects middle cerebral artery territory in affected patients. Serological tests and imaging methods are used for diagnosis. In the differential diagnosis of radiological evaluation; there are porencephalic and arachnoid cysts, pyogenic abscess, cystic tumors and neuroglial cysts. The most effective treatment is surgical removal of the cyst without rupture. In this study, we present a 23-years-old patient admitted to our hospital because of headache and diagnosed with papilledema in the physical examination with findings of imaging.

Anahtar Kelimeler

Headache, echinococcosis, computed tomography

Baş Ağrısının Nadir Bir Nedeni: Dev Serebral Kist Hidatid

Öz

Kist hidatik özellikle hayvancılığın yaygın olduğu ülkelerde görülen ve sıklıkla karaciğeri tutan parazitik bir hastalıktır. Parazitin insanlarda en sık hastalığa neden olan altgrubu Echinococcus granulosus'tur. Klinik bulgular tutulan organa ve kistin boyutuna göre değişkenlik gösterebilir. Kistin beyne yerleşimi oldukça nadirdir ve etkilenen olgularda daha çok orta serebral arter sulama alanında görülür. Tanıda serolojik testler ve görüntüleme yöntemleri kullanılmaktadır. Radyolojik değerlendirmede ayırıcı tanısında; porensefalik ve araknoid kistler, piyojenik apse, kistik tümörler ve nöroglial kistler bulunmaktadır. En etkili tedavi kistin rüptüre edilmeden cerrahi olarak çıkarılmasıdır. Biz bu makalemizde 23 yaşında başağrısı nedeniyle hastanemize başvuran ve fizik muayenesinde papil ödem saptanan olgumuzu görüntüleme bulguları eşliğinde sunuyoruz.

Anahtar Kelimeler

Baş ağrısı, ekinokokkozis, bilgisayarlı tomografi

Kaynakça

• Petrone L, Cuzzi G, Colace L,ve diğ. Cystic Echinococcosis in a Single Tertiary Care Center in Rome, Italy. Biomed Res Int. 2013; 2013: 978146.
• Moro P, Schantz PM. Echinococcosis: A review. Int J Infect Dis 2009; 13: 125-33.
• Özkan Ü, Kemaloğlu M, Selçuki M. Gigantic intracranial mass of hydatic cyst. Child’s Nervous System 2001; 17: 623-625.
• Gana R, Skhissi M, Maaqili R, Bellakhdar F. Multiple infected cerebral hydatid cysts. J Clin Neurosci. 2008; 15: 591–593.
• Basarslan SK, Gocmez C, Kamasak K, ve diğ. The Gigant primary cerebral hydatid cyst with no marked manifestation: a case report and review of literatüre. Eur Rev Med Pharmacol Sci. 2015; 19(8): 1327-1329.
• Khan MB, Riaz M, Bari ME. Multiple cerebral hydatid cysts in 8-year-old boy: A case report and literature review of a rare presentation. Surg Neurol Int. 2015; 29: 6: 125.
• Akkaya H, Akkaya B, Gönülcü S. Hydatid disease involving some rare sites in the body. Türkiye Parazitol Derg. 2015; 39(1): 78-82.
• Bükte Y, Kemaloglu S, Nazaroglu H, ve diğ. Cerebral hydatid disease: CT and MR imaging findings. Swiss Med Wkly. 2004; 134: 459–467.
• Turgut M. Intracranial hydatidosis in Turkey: its clinical presentation, diagnostic studies surgical management, and outcome. A review of 276 cases. Neuro surg Rev. 2001; 24: 200-208.
• Tuzun Y, Kadioglu HH, Izci Y, ve diğ. The clinical, radiological and surgical aspects of cerebral hydatid cysts in children. Pediatr Neurosurg. 2004; 40: 155-60.
• Pandey S, Pandey D, Shende N, ve diğ. Cerebral intraventricular echinococcosis in an adult. Surg Neurol Int. 2015; 6:138.
• Horton RJ. Albendazole in treatment of human cystic echinococcosis: 12 years of experience. Acta Tropica. 1997; 64: 79-93.esophageal cancer. Oncol Rep. 2012; 29: 226-236.