Primer Tek ve Çok Sayıda İntrakraniyal Hidatik Kist Hastalığı: Dört Olgu Raporu

İntrakraniyal kist hidatik nadirdir, tüm kist hidatik hastalığının %1-2’sin-de bildirilmekte ve çoğu çocukluk döneminde görülmektedir. Bu yazıda, primer intrakraniyal kist hidatik tanılı 4 olgu sunulmuştur. Tanı Echino-coccus granulosus indirekt hemaglütinasyon testi ve/veya kraniyal man-yetik rezonans görüntüleme (MRG) ile konmuştur. Olguların üçünde kist serebral yerleşimli, bir olguda ise serebellar bölgede idi. İki olguda çok sayıda idi, olguların birinde tekrarlayan serebral kist hidatik vardı. Tüm olgulara albendazol tedavisi verildi. Olguların üçü cerrahi operasyon sonrası düzeldi, ancak bir olguya ventriküloperitoneal şant takıldı ve aynı zamanda dura defekti onarıldı. Bu yazı primer serebral kist hidatiğin tanısal ve cerrahi tekniklerin gelişmesine rağmen halen önemli bir prob-lem olduğunu göstermektedir.

Primary Solitary and Multiple Intracranial Hydatid Cyst Disease: Report of Four Cases

Four patients suffered from headache and vomiting at the time of diag-nosis. A preoperative diagnosis of the disease was made thanks to crani-al magnetic resonance imaging findings and indirect hemagglutination test for Echinococcus granulosus. Of these four children, three had cysts in cerebral localization and one in cerebellar localization. Two children had multiple and one of them had recurrent cerebral hydatid disease. All patients received albendazole treatment. While three patients did well after surgical excision, a ventriculoperitoneal shunt was placed in one. Also, this child was operated for duramater defect. Histopathological nad microbiological studies were performed for surgical specimens. We consider that primary hydatid disease of brain is still a difficult problem despite all advances in diagnostic methods and surgical techniques.

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Çocuk Enfeksiyon Dergisi
  • ISSN: 1307-1068
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2006
  • Yayıncı: Yeliz İşitmir

12.3b7.5b