MANAGEMENT OF PROBLEMATIC INTRACRANIAL HYDATID CYSTS

The authors report four patients with intracranial hydatic cysts, One patient had a pontine lesion which was punctured and aspirated and the cyst wall removed with a satisfactory outcome, The second patient had multiple cysts which was comparable to meningeomatosis. She had a rap idly deteriorating neurologic condition which proved to be fatal in sp ite of two consecutive surgical interventions. The third patient had n ine lesions although only six were evident on the MRI. All of the cyst s were removed, while two cysts ruptured. Multiple paracardial cysts o f this patient were surgically removed shortly after the craniotomy. T he last patient, again with multiple intracranial hydatid cysts had sa fe; total removal of all cysts. The first postoperative control CT rai sed the possibility of recurrence since the CT was highly suggestive o f a hydatid cyst. However, this was not confirmed in the follow-up CT examination. Problems and the solutions of management are discussed.