Case Report
 
Intracerebral hydatid cyst: A rare cause of neurosurgical emergency
Soumaya Touzani1, Brahim Bechri1, Toufik Joulali2, Mohamed Adnane Berdai3, Smael Labib4, Mustapha Harandou5
1MD, Resident, Department of Obstetrics and Pediatric Anesthesiology and Intensive Care, University Hospital Hassan II, Fez, Morocco.
2MD, Specialist, Department of Obstetrics and Pediatric Anesthesiology and Intensive Care, University Hospital Hassan II, Fez, Morocco
3M.D, Assistant Professor, Department of Obstetrics and Pediatric Anesthesiology and Intensive Care, University Hospital Hassan II, Fez, Morocco.
4MD, Associate professor, Department of Obstetrics and Pediatric Anesthesiology and Intensive Care, University Hospital Hassan II, Fez, Morocco.
5Head of department, Department of Obstetrics and Pediatric Anesthesiology and Intensive Care, University Hospital Hassan II, Fez, Morocco.

Article ID: Z01201611CR10721ST
doi:10.5348/ijcri-2016133-CR-10721

Address correspondence to:
Soumaya Touzani
Department of Obstetrics and Pediatric Anesthesiology and Intensive Care
University Hospital Hassan II, Sidi Hrazem Road
FEZ, Morocco, 30070

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How to cite this article
Touzani S, Bechri B, Joulali T, Berdai MA, Labib S, Harandou M. Intracerebral hydatid cyst: A rare cause of neurosurgical emergency. Int J Case Rep Images 2016;7(11):758–761.


Abstract
Introduction: Hydatid cyst disease in childhood is still a serious health problem in the rural areas of Morocco and other places where the parasite is endemic. Brain involvement rate is about 2% of the cases and is most commonly observed in children.
Case Report: We report the case of a five-year-old boy who presented with general weakness and vomiting before rapid deterioration of consciousness, requiring an urgent operation as there were signs of midbrain herniation with a cystic lesion in the left frontoparietal region at the Computed tomography scan. The patient was discharged after one week with optimal neurological status. Although cases of cerebral hydatid disease are quite common in literature, the urgent character of our case is rarely reported and will be discussed in the light of previous cases as well as cerebral hydatid disease management.
Conclusion: In case of emergencies, such as midbrain herniation with cystic lesions identified by CT scan, the possibility of hydatid cysts should be considered where the infection is endemic and the team should be prepared to remove the cyst without rupture.

Keywords: Children, Dowling's technique, Hydatid cyst, Intracranial


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Author Contributions
Touzani Soumaya – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Bechri Brahim – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Joulali Toufik – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Berdai Mohamed Adnane – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Labib Smael – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Harandou Mustapha – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Touzani Soumaya et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.