Hydatid cyst of the quadrigeminal cistern A case report for unusual location with literature review

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Saif Saood Abdelrazaq
Abdullah H. Al Ramadan
Ali Adnan Dolachee
Mohammed Maan AbdulAzeez
Ali Saud Abdulrazzaq
Amar Saeed Rashid
Samer S. Hoz

Abstract

Intracranial hydatid cyst involves supratentorial area and mainly affecting the middle cerebral artery territory with the predilection of the partial lobe. It can be single - which is the most common - or multiple up to 35 cysts. They tend to be huge at the time of symptomatic presentation especially when they are presented as a solitary lesion with a slow growth rate around 1.5 cm/year, however, it is variable and it can be up to 10 cm/year. Surgical treatment is mandatory for all patients once the correct diagnosis is made, except for patients with multiple organ involvement in poor general conditions and deep-located cysts. The existence of hydatidosis in the cisternal spaces must not be neglected given the capacity of E. granulosus larvae to disseminate via the CSF. In this case report; two and half years’ male child presented with a history of 2 attacks of generalized seizure for the last 72 hours with the head circumference at the upper normal limit for his age. This paper presents the first case report demonstrating a primary single hydatid cyst located in the quadrigeminal cistern in a child. We concluded that in spite of the feasibility of the imaging and the high suspension of cerebral hydatid cyst, still, the reports show more locations which can be described as unusual although for a head to toe suspected distribution of hydatid disease is already understood. An eminent medical and surgical (if indicated) treatment of the primary cerebral hydatid cyst are always effective and recommended.

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How to Cite
Abdelrazaq, S., Al Ramadan, A., Dolachee, A., AbdulAzeez, M., Abdulrazzaq, A., Rashid, A., & Hoz, S. (2019). Hydatid cyst of the quadrigeminal cistern. Romanian Neurosurgery, 33(2), 150-155. https://doi.org/10.33962/roneuro-2019-028
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Author Biographies

Saif Saood Abdelrazaq

Neurosurgery Department, Al Sadar Teaching Hospital, Najaf, IRAQ

Abdullah H. Al Ramadan

Department of Neurosurgery, King Faisal Specialist Hospital and Research Centre, Riyadh, SAUDI ARABIA

Ali Adnan Dolachee

Department of Neurosurgery, College of Medicine, Al Qadisiyah University, IRAQ

Mohammed Maan AbdulAzeez

College of Medicine, University of Baghdad, Baghdad, IRAQ

Ali Saud Abdulrazzaq

Neurosurgery Department, Neurosurgery Teaching Hospital, Baghdad, IRAQ

Amar Saeed Rashid

Department of Neurosurgery, College of Medicine, Kufa University, Baghdad, IRAQ

Samer S. Hoz

Neurosurgery Department, Neurosurgery Teaching Hospital, Baghdad, IRAQ