RESUMO
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.
Assuntos
Infecções Parasitárias do Sistema Nervoso Central/diagnóstico por imagem , Equinococose/diagnóstico por imagem , Adulto , Albendazol/uso terapêutico , Criação de Animais Domésticos , Anti-Helmínticos/uso terapêutico , Infecções Parasitárias do Sistema Nervoso Central/complicações , Infecções Parasitárias do Sistema Nervoso Central/tratamento farmacológico , Infecções Parasitárias do Sistema Nervoso Central/cirurgia , Terapia Combinada , Craniotomia , Equinococose/complicações , Equinococose/tratamento farmacológico , Equinococose/cirurgia , Lobo Frontal/diagnóstico por imagem , Lobo Frontal/parasitologia , Humanos , Masculino , Náusea/etiologia , Exposição Ocupacional , Paresia/etiologia , Lobo Parietal/diagnóstico por imagem , Lobo Parietal/parasitologia , Peru , Tomografia Computadorizada por Raios X , Vômito/etiologiaRESUMO
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.