Mustafa REŞORLU, Gürhan ADAM, Fatma UYSAL, Serçin BAŞ, Erdal AYVAZ, Hüseyin ÖZDEMİR

Baş Ağrısının Nadir Bir Nedeni: Dev Serebral Kist Hidatid

Kist hidatik özellikle hayvancılığın yaygın olduğu ülkelerde görülen ve sıklıkla karaciğeri tutan parazitik bir hastalıktır. Parazitin insanlarda en sık hastalığa neden olan altgrubu Echinococcus granulosus'tur. Klinik bulgular tutulan organa ve kistin boyutuna göre değişkenlik gösterebilir. Kistin beyne yerleşimi oldukça nadirdir ve etkilenen olgularda daha çok orta serebral arter sulama alanında görülür. Tanıda serolojik testler ve görüntüleme yöntemleri kullanılmaktadır. Radyolojik değerlendirmede ayırıcı tanısında; porensefalik ve araknoid kistler, piyojenik apse, kistik tümörler ve nöroglial kistler bulunmaktadır. En etkili tedavi kistin rüptüre edilmeden cerrahi olarak çıkarılmasıdır. Biz bu makalemizde 23 yaşında başağrısı nedeniyle hastanemize başvuran ve fizik muayenesinde papil ödem saptanan olgumuzu görüntüleme bulguları eşliğinde sunuyoruz.

Anahtar Kelimeler:

Baş ağrısı, ekinokokkozis, bilgisayarlı tomografi

A Rare Cause Of Headache: Giant Cerebral Hydatid Cyst

Hydatid cyst is a parasitic disease involving the liver especially common in countries where animal husbandry is widespread. Echinococcus granulosus subgroup is the most common cause of this disease in humans. Clinical signs can vary according to the affected organ and cyst size. It is seen very rare in the brain and it often affects middle cerebral artery territory in affected patients. Serological tests and imaging methods are used for diagnosis. In the differential diagnosis of radiological evaluation; there are porencephalic and arachnoid cysts, pyogenic abscess, cystic tumors and neuroglial cysts. The most effective treatment is surgical removal of the cyst without rupture. In this study, we present a 23-years-old patient admitted to our hospital because of headache and diagnosed with papilledema in the physical examination with findings of imaging.

Keywords:

Headache, echinococcosis, computed tomography,

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