Multiple cerebral hydatic cysts of cardiac origin. A case report

Citation
Sa. Ben Ali et al., Multiple cerebral hydatic cysts of cardiac origin. A case report, NEUROCHIRE, 45(5), 1999, pp. 426-429
Citations number
15
Categorie Soggetti
Neurology
Journal title
NEUROCHIRURGIE
ISSN journal
00283770 → ACNP
Volume
45
Issue
5
Year of publication
1999
Pages
426 - 429
Database
ISI
SICI code
0028-3770(199912)45:5<426:MCHCOC>2.0.ZU;2-I
Abstract
The hydatic cyst is a pathology observed in developing countries. Multiple cerebral localizations with a cardiac origin are exceptional and are someti mes diagnosed only after onset of complications. We present the case of a 2 2-year-old male student: the diagnosis of multiple cerebral hydatic cysts c aused by rupture of a cardiac hydatic cyst was established after an episode of ischemia of the limbs with cerebral hemorrhage induced by heparin. One year Inter, the clinical situation consisted in intracranical hypertension, hemiplegia and convulsive seizures. We observed no cardiac symptoms. The b rain CT showed 9 hydatic cysts and echocardiography showed a myxomatous cys tic tumor: Abdominal CT detected renal and splenic hydatic cysts. The patie nt underwent total ablation of the cerebral and abdominal cysts and made a fill recovery. After surgical removal of the cardiac cyst, the patient has been lost to follow-up. Cerebral hydatidosis of cardiac origin is highly ex ceptional anti, due to nonspecific symptomatology, may go undiagnosed. In g eneral, prognosis is good in case of a cerebral localization but the cardia c localization is associated with high mortality.