ABSTRACT
A case of hydatid cerebral disease with multiple cysts is reported with the purpose of presenting this unusual form of hydatid neurological involvement and to discuss some aspects of the pathogenesis and treatment. In this patient, the liver hydatid cyst surgery two years prior to the development of multiple pulmonary and cerebral cysts suggests a vascular invasion of oncoesphere during the hepatic surgery with hematological dissemination to the lungs and brain. The multiplicity and deep localization of the cerebral cysts prevented the performance of a definitive surgical resection. The multiple percutaneous drainage of the cysts was useful in this case to reduce the endocraneal hypertension and to achieve a neurological improvement. Albendazole has proved of benefit as a chemo-therapeutic agent in these cases and Magnetic Resonance Imaging has proven useful for surgical planning.
Subject(s)
Brain Diseases/parasitology , Echinococcosis , Adult , Brain Diseases/therapy , Echinococcosis/diagnosis , Echinococcosis/therapy , Female , HumansABSTRACT
Se presenta un caso de hidatidosis cerebral múltiplos con el propósito de comunicar esta inusual forma de compromiso cerebral de la hidatidosis y comentar aspectos de su patogenia y tratamiento. La secuencia en esta paciente de cirugía 2 años antes de quiste hidatídico de hígado y desarrollo posterior de quistes cerebrales y pulmonares múltiples, sugiere compromiso secundario a diseminación hematógena por penetración vascular de oncoesferas durante la cirugía del quiste de hígado. La multiplicidad y diseminación impidieron la exéresis quirúrgica definitiva y obligaron a realizar reiterados drenajes por punción con lo que se obtuvo estabilización neurológica. Se plantea la utilidad del tratamiento con Albendazol como otra alternativa terapêutica en estos casos y la de la Resonancia Magnética Nuclear para planear la estrategia quirúrgica
Subject(s)
Adult , Humans , Female , Brain Diseases/diagnosis , Echinococcosis/diagnosis , Albendazole/therapeutic use , Craniotomy , Brain Diseases/surgery , Brain Diseases/drug therapy , Echinococcosis/drug therapy , Echinococcosis/surgeryABSTRACT
Se presenta un caso de hidatidosis cerebral múltiplos con el propósito de comunicar esta inusual forma de compromiso cerebral de la hidatidosis y comentar aspectos de su patogenia y tratamiento. La secuencia en esta paciente de cirugía 2 años antes de quiste hidatídico de hígado y desarrollo posterior de quistes cerebrales y pulmonares múltiples, sugiere compromiso secundario a diseminación hematógena por penetración vascular de oncoesferas durante la cirugía del quiste de hígado. La multiplicidad y diseminación impidieron la exéresis quirúrgica definitiva y obligaron a realizar reiterados drenajes por punción con lo que se obtuvo estabilización neurológica. Se plantea la utilidad del tratamiento con Albendazol como otra alternativa terapÛutica en estos casos y la de la Resonancia Magnética Nuclear para planear la estrategia quirúrgica (AU)
Subject(s)
Adult , Humans , Female , Echinococcosis/diagnosis , Brain Diseases/diagnosis , Echinococcosis/surgery , Echinococcosis/drug therapy , Brain Diseases/surgery , Brain Diseases/drug therapy , Albendazole/therapeutic use , CraniotomyABSTRACT
A case of hydatid cerebral disease with multiple cysts is reported with the purpose of presenting this unusual form of hydatid neurological involvement and to discuss some aspects of the pathogenesis and treatment. In this patient, the liver hydatid cyst surgery two years prior to the development of multiple pulmonary and cerebral cysts suggests a vascular invasion of oncoesphere during the hepatic surgery with hematological dissemination to the lungs and brain. The multiplicity and deep localization of the cerebral cysts prevented the performance of a definitive surgical resection. The multiple percutaneous drainage of the cysts was useful in this case to reduce the endocraneal hypertension and to achieve a neurological improvement. Albendazole has proved of benefit as a chemo-therapeutic agent in these cases and Magnetic Resonance Imaging has proven useful for surgical planning.
