Temporoparietooccipital Brain Hydatid Cyst in a Four-Year-Old Child: A Rare Case Report
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Abstract
The larval stages of Echinococcus granulosus cause hydatidosis or hydatid disease, which primarily affects children worldwide. It primarily impacts the lungs and liver, but brain hydatidosis is an infrequent condition in the pediatric population. This condition presents with non-specific signs and symptoms. Intracranial hydatid cysts can be diagnosed through brain magnetic resonance imaging (MRI) and histopathological examination of the specimen. In this report, we describe a case of a 4-year-old boy diagnosed with a temporoparietooccipital brain hydatid cyst. The MRI revealed a thin-walled cystic lesion in the left temporoparietooccipital lobe. It showed a significant mass effect and midline shift, with no abnormal wall or solid enhancement and no surrounding edema. Based on these imaging findings, a diagnosis of a brain hydatid cyst was made.
The patient underwent surgery, during which the cyst was removed entirely without rupture. Histopathological examination confirmed the diagnosis of a brain hydatid cyst. The patient had a smooth postoperative recovery, began treatment with albendazole, and was discharged in improved health.
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[2] Islami Parkoohi P, Jahani M, Hosseinzadeh F, Taghian S, Rostami F, Mousavi A, et al. Epidemiology and Clinical Features of Hydatid Cyst in Northern Iran from 2005 to 2015. Iran J Parasitol. 2018 Apr-Jun;13(2):310-6.
[3] Senapati SB, Parida DK, Pattajoshi AS, Gouda AK, Patnaik A. Primary hydatid cyst of brain: Two cases report. Asian J
Neurosurg. 2015 Apr-Jun;10(2):175-6. https://doi.org/10.4103/1793-5482.152109
[4] Bükte Y, Kemaloglu S, Nazaroglu H, Ozkan U, Ceviz A, Simsek M. Cerebral hydatid disease: CT and MR imaging findings. Swiss Med Wkly. 2004 Aug 7;134(31-32):459-67. https://doi.org/10.57187/smw.2004.10711
[5] Osborn AG, Preece MT. Intracranial cysts: radiologicpathologic correlation and imaging approach. Radiology. 2006
Jun;239(3):650-64. https://doi.org/10.1148/radiol.2393050823
[6] Chen S, Li N, Yang F, Wu J, Hu Y, Yu S, et al. Medical treatment of an unusual cerebral hydatid disease. BMC Infect Dis. 2018 Jan 5;18(1):12. https://doi.org/10.1186/s12879-017-2935-2
[7] Arega G, Merga G, Tafa G, Salah FO, Abebe G, Maru S, et al. Temporoparietal brain hydatid cyst in an eight-year-old child: a rare case report. Pediatr Health Med Ther. 2022 Nov 10;13:361-5. https://doi.org/10.2147/PHMT.S390336
[8] Ghasemi AA, Mohammadzade H, Mohammadi R. Giant hydatid cyst of the brain: Intact cyst removal in 8-year-old child. Int J Surg Case Rep. 2023 May 1;106:108172. https://doi.org/10.1016/j. ijscr.2023.108172
[9] Redhu R, Kallianpur A. Cranial dura breach by extradural skull base hydatid cyst leading to intraventricular spread: a novel case of intraventricular spread. Turk Neurosurg. 2025;35(2):345-8. https://doi.org/10.5137/1019-5149.JTN.46443-24.2 . Childs Nerv Syst. 2025 Jan 6;41(1):84. https://doi.
[10] Jangir H, Roy C, Goyal S, Goindi AS, Kedia S, Suri V. Intracranial hydatid cyst in a pediatric patient: a rare mimic of brain malignancy . 2019 Oct 1;65(5):514-9. https://doi. org/10.1093/tropej/fmy080 [1] Baboli S, Baboli S, Soleiman Meigooni S. Brain Hydatid Cyst with Atypical Symptoms in an Adult: A Case Report. Iran J Parasitol. 2016 Jul-Sep;11(3):422-5.
[11] Thakar S, Sunil A. Cerebral cystic echinococcosis. N Engl J Med. 2023 Feb 2;388(5):e10. https://doi.org/10.1056/
NEJMicm2208104
[12] Pulavarty P, Korde P, Rathod S, Patnaik J, Domakunti R, Singh SP. Primary solitary hydatid disease of brain in a 16-year-old girl: a case report. Pan Afr Med J. 2022;42:195. https://doi. org/10.11604/pamj.2022.42.195.34744
[13] Ashraf M, Ahmed S, Ahmad S, Ahmad A. A large hydatid cyst in the brain of a 10-year child. J Coll Physicians Surg Pak. 2022 Apr;32(4):538-40. https://doi.org/10.29271/jcpsp.2022.04.538
[14] Kandemirli SG, Cingoz M, Olmaz B, Akdogan E, Cengiz M. Cerebral hydatid cyst with intraventricular extension: a case report. J Trop Pediatr
[15] Gök H, Başkurt O. Giant primary intracranial hydatid cyst in child with hemiparesis. World Neurosurg. 2019 Sep;129:404-6. https://doi.org/10.1016/j.wneu.2019.06.129
[16] Tanki H, Singh H, Raswan US, Bhat AR, Kirmani AR, Ramzan AU. Pediatric intracranial hydatid cyst: a case series with literature review. Pediatr Neurosurg. 2018;53(5):299-304. https://doi.org/10.1159/000488714
[17] Regaieg K, Bahloul M, Turki O, Kammoun B, Toumi N, Bouaziz M. Giant intracranial cystic lesion in a child. Wilderness Environ Med. 2018 Dec;29(4):546-8. https://doi.org/10.1016/j. wem.2018.07.003
[18] Randev S, Gupta VK, Kumar P, Mahajan V, Angurana SK, Guglani V. Brain hydatid in a child. J Pediatr. 2018 Aug;199:280. https://doi.org/10.1016/j.jpeds.2018.03.016
[19] Nie D, Xia L, Chen J, Shi W, Sun G, Guo J. Teaching NeuroImages: Giant cystic echinococcosis with unusual imaging
manifestations. Neurology. 2017 Jun 6;88(23):e234-5. https://doi.org/10.1212/WNL.0000000000004055
[20] Taslakian B, Darwish H. Intracranial hydatid cyst: imaging findings of a rare disease. BMJ Case Rep. 2016 Sep
12;2016:bcr2016215336. https://doi.org/10.1136/bcr-2016-216570
[21] Tzili N, Ahbeddou S, Ahmimech J, Abboud H, Boutarbouch M, El Hassan A, et al. Swollen eyelid reveals multiple
intracranial hydatid cysts associated with a palpebral cyst. J Fr Ophtalmol. 2016 Feb;39(2):210-2. https://doi.org/10.1016/j. jfo.2015.06.005
[22] Ijaz L, Mirza B, Nadeem MM, Saleem M. Simultaneous giant hydatid cysts of brain and liver. J Coll Physicians Surg Pak. 2015 Apr;25 Suppl 1:S53-5.
[23] Basarslan SK, Gocmez C, Kamasak K, Ceviz A. The gigant primary cerebral hydatid cyst with no marked manifestation: a case report and review of literature. Eur Rev Med Pharmacol Sci. 2015 Apr;19(8):1327-9.
[2] Islami Parkoohi P, Jahani M, Hosseinzadeh F, Taghian S, Rostami F, Mousavi A, et al. Epidemiology and Clinical Features of Hydatid Cyst in Northern Iran from 2005 to 2015. Iran J Parasitol. 2018 Apr-Jun;13(2):310-6.
[3] Senapati SB, Parida DK, Pattajoshi AS, Gouda AK, Patnaik A. Primary hydatid cyst of brain: Two cases report. Asian J
Neurosurg. 2015 Apr-Jun;10(2):175-6. https://doi.org/10.4103/1793-5482.152109
[4] Bükte Y, Kemaloglu S, Nazaroglu H, Ozkan U, Ceviz A, Simsek M. Cerebral hydatid disease: CT and MR imaging findings. Swiss Med Wkly. 2004 Aug 7;134(31-32):459-67. https://doi.org/10.57187/smw.2004.10711
[5] Osborn AG, Preece MT. Intracranial cysts: radiologicpathologic correlation and imaging approach. Radiology. 2006
Jun;239(3):650-64. https://doi.org/10.1148/radiol.2393050823
[6] Chen S, Li N, Yang F, Wu J, Hu Y, Yu S, et al. Medical treatment of an unusual cerebral hydatid disease. BMC Infect Dis. 2018 Jan 5;18(1):12. https://doi.org/10.1186/s12879-017-2935-2
[7] Arega G, Merga G, Tafa G, Salah FO, Abebe G, Maru S, et al. Temporoparietal brain hydatid cyst in an eight-year-old child: a rare case report. Pediatr Health Med Ther. 2022 Nov 10;13:361-5. https://doi.org/10.2147/PHMT.S390336
[8] Ghasemi AA, Mohammadzade H, Mohammadi R. Giant hydatid cyst of the brain: Intact cyst removal in 8-year-old child. Int J Surg Case Rep. 2023 May 1;106:108172. https://doi.org/10.1016/j. ijscr.2023.108172
[9] Redhu R, Kallianpur A. Cranial dura breach by extradural skull base hydatid cyst leading to intraventricular spread: a novel case of intraventricular spread. Turk Neurosurg. 2025;35(2):345-8. https://doi.org/10.5137/1019-5149.JTN.46443-24.2 . Childs Nerv Syst. 2025 Jan 6;41(1):84. https://doi.
[10] Jangir H, Roy C, Goyal S, Goindi AS, Kedia S, Suri V. Intracranial hydatid cyst in a pediatric patient: a rare mimic of brain malignancy . 2019 Oct 1;65(5):514-9. https://doi. org/10.1093/tropej/fmy080 [1] Baboli S, Baboli S, Soleiman Meigooni S. Brain Hydatid Cyst with Atypical Symptoms in an Adult: A Case Report. Iran J Parasitol. 2016 Jul-Sep;11(3):422-5.
[11] Thakar S, Sunil A. Cerebral cystic echinococcosis. N Engl J Med. 2023 Feb 2;388(5):e10. https://doi.org/10.1056/
NEJMicm2208104
[12] Pulavarty P, Korde P, Rathod S, Patnaik J, Domakunti R, Singh SP. Primary solitary hydatid disease of brain in a 16-year-old girl: a case report. Pan Afr Med J. 2022;42:195. https://doi. org/10.11604/pamj.2022.42.195.34744
[13] Ashraf M, Ahmed S, Ahmad S, Ahmad A. A large hydatid cyst in the brain of a 10-year child. J Coll Physicians Surg Pak. 2022 Apr;32(4):538-40. https://doi.org/10.29271/jcpsp.2022.04.538
[14] Kandemirli SG, Cingoz M, Olmaz B, Akdogan E, Cengiz M. Cerebral hydatid cyst with intraventricular extension: a case report. J Trop Pediatr
[15] Gök H, Başkurt O. Giant primary intracranial hydatid cyst in child with hemiparesis. World Neurosurg. 2019 Sep;129:404-6. https://doi.org/10.1016/j.wneu.2019.06.129
[16] Tanki H, Singh H, Raswan US, Bhat AR, Kirmani AR, Ramzan AU. Pediatric intracranial hydatid cyst: a case series with literature review. Pediatr Neurosurg. 2018;53(5):299-304. https://doi.org/10.1159/000488714
[17] Regaieg K, Bahloul M, Turki O, Kammoun B, Toumi N, Bouaziz M. Giant intracranial cystic lesion in a child. Wilderness Environ Med. 2018 Dec;29(4):546-8. https://doi.org/10.1016/j. wem.2018.07.003
[18] Randev S, Gupta VK, Kumar P, Mahajan V, Angurana SK, Guglani V. Brain hydatid in a child. J Pediatr. 2018 Aug;199:280. https://doi.org/10.1016/j.jpeds.2018.03.016
[19] Nie D, Xia L, Chen J, Shi W, Sun G, Guo J. Teaching NeuroImages: Giant cystic echinococcosis with unusual imaging
manifestations. Neurology. 2017 Jun 6;88(23):e234-5. https://doi.org/10.1212/WNL.0000000000004055
[20] Taslakian B, Darwish H. Intracranial hydatid cyst: imaging findings of a rare disease. BMJ Case Rep. 2016 Sep
12;2016:bcr2016215336. https://doi.org/10.1136/bcr-2016-216570
[21] Tzili N, Ahbeddou S, Ahmimech J, Abboud H, Boutarbouch M, El Hassan A, et al. Swollen eyelid reveals multiple
intracranial hydatid cysts associated with a palpebral cyst. J Fr Ophtalmol. 2016 Feb;39(2):210-2. https://doi.org/10.1016/j. jfo.2015.06.005
[22] Ijaz L, Mirza B, Nadeem MM, Saleem M. Simultaneous giant hydatid cysts of brain and liver. J Coll Physicians Surg Pak. 2015 Apr;25 Suppl 1:S53-5.
[23] Basarslan SK, Gocmez C, Kamasak K, Ceviz A. The gigant primary cerebral hydatid cyst with no marked manifestation: a case report and review of literature. Eur Rev Med Pharmacol Sci. 2015 Apr;19(8):1327-9.
| Files | ||
| Issue | Vol 9 No 6 (2024): November-December | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v9i6.18945 | |
| Keywords | ||
| Temporoparietooccipital brain hydatid cyst Echinococcus granulosus Histopathology Cyst wall Albendazole | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Aghadoost H, Salehabadi G, Farzan A, Tavakkoli E. Temporoparietooccipital Brain Hydatid Cyst in a Four-Year-Old Child: A Rare Case Report. CRCP. 2025;9(6):257-265.
