Background. - Brain cysts caused by Echinococcus granulosus are rare;
they occur during childhood in endemic areas. Patients. - Six children
, aged to 8.5-years old (mean age: 5.5 years) were admitted from 1989
to 1994 because they suffered from progressive intracranial hypertensi
on. The brain CT-scan showed typical features of supratentorial, unilo
cular (four cases) or multilocular (two cases) cysts. Three children h
ad positive serological test; two had another cyst into their lung or
liver and the third had generalized cysts. This last patient died post
-operatively while the five others recovered after excision of cysts.
Conclusion. - Any progressive intracranial hypertension in endemic are
as requires brain CT-scan that clearly identifies the cyst and its loc
ation.