An unusual case report on intracranial hydatid cyst with intraventricular extension

Abstract Background We report an interesting case of a primary isolated intraventricular and intracranial hydatid cyst in 20-year-old female that mimicked bleeding cystic tumor presenting as intraventricular hemorrhage with hydrocephalus. Case presentation Patient presented with headache and giddine...

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Main Authors: Rohan Kumar Singh, Prerna Anup Patwa, Gaurav Vedprakash Mishra, Rajasbala Pradeep Dhande, Shivali Vaibhav Kashikar, Bhavik Sunit Unadkat
Format: Article
Language:English
Published: SpringerOpen 2022-02-01
Series:The Egyptian Journal of Radiology and Nuclear Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43055-022-00727-x
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author Rohan Kumar Singh
Prerna Anup Patwa
Gaurav Vedprakash Mishra
Rajasbala Pradeep Dhande
Shivali Vaibhav Kashikar
Bhavik Sunit Unadkat
author_facet Rohan Kumar Singh
Prerna Anup Patwa
Gaurav Vedprakash Mishra
Rajasbala Pradeep Dhande
Shivali Vaibhav Kashikar
Bhavik Sunit Unadkat
author_sort Rohan Kumar Singh
collection DOAJ
description Abstract Background We report an interesting case of a primary isolated intraventricular and intracranial hydatid cyst in 20-year-old female that mimicked bleeding cystic tumor presenting as intraventricular hemorrhage with hydrocephalus. Case presentation Patient presented with headache and giddiness for 1 month. On magnetic resonance imaging, there was multiloculated multi-cystic lesion in left lateral ventricle and adjacent left periventricular deep white matter. Lesion was causing compression of the body of the left lateral ventricle with temporal horn dilatation and midline shift of 17–18 mm toward right side. On investigation, it was diagnosed intracranial hydatid cyst with intraventricular extension. Patient underwent complete removal of cerebral hydatid cyst. Follow-up postoperative computed tomography scan done which revealed no residual hydatid cyst. Conclusion In this case, larvae of echinococcus might have passed through capillaries of liver and lungs and entered systemic circulation reaching brain. Intracerebral hydatid cysts are rare and hence, dangerous if the diagnosis and treatment is not prompt. Intracerebral hydatid cysts have slow growth rate with late-stage symptoms, morbidity and mortality are high. So, take home message is whenever intracranial cystic lesion are found on magnetic resonance imaging hydatid cyst with possible intracranial extension should be considered in differential diagnosis.
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spelling doaj.art-80850ef9dfde4611a621b5ed05ccb9a12022-12-21T19:29:05ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine2090-47622022-02-015311410.1186/s43055-022-00727-xAn unusual case report on intracranial hydatid cyst with intraventricular extensionRohan Kumar Singh0Prerna Anup Patwa1Gaurav Vedprakash Mishra2Rajasbala Pradeep Dhande3Shivali Vaibhav Kashikar4Bhavik Sunit Unadkat5Department of Radiodiagnosis, Jawaharlal Nehru Medical CollegeDepartment of Radiodiagnosis, Jawaharlal Nehru Medical CollegeDepartment of Radiodiagnosis, Jawaharlal Nehru Medical CollegeDepartment of Radiodiagnosis, Jawaharlal Nehru Medical CollegeDepartment of Radiodiagnosis, Jawaharlal Nehru Medical CollegeDepartment of Radiodiagnosis, Jawaharlal Nehru Medical CollegeAbstract Background We report an interesting case of a primary isolated intraventricular and intracranial hydatid cyst in 20-year-old female that mimicked bleeding cystic tumor presenting as intraventricular hemorrhage with hydrocephalus. Case presentation Patient presented with headache and giddiness for 1 month. On magnetic resonance imaging, there was multiloculated multi-cystic lesion in left lateral ventricle and adjacent left periventricular deep white matter. Lesion was causing compression of the body of the left lateral ventricle with temporal horn dilatation and midline shift of 17–18 mm toward right side. On investigation, it was diagnosed intracranial hydatid cyst with intraventricular extension. Patient underwent complete removal of cerebral hydatid cyst. Follow-up postoperative computed tomography scan done which revealed no residual hydatid cyst. Conclusion In this case, larvae of echinococcus might have passed through capillaries of liver and lungs and entered systemic circulation reaching brain. Intracerebral hydatid cysts are rare and hence, dangerous if the diagnosis and treatment is not prompt. Intracerebral hydatid cysts have slow growth rate with late-stage symptoms, morbidity and mortality are high. So, take home message is whenever intracranial cystic lesion are found on magnetic resonance imaging hydatid cyst with possible intracranial extension should be considered in differential diagnosis.https://doi.org/10.1186/s43055-022-00727-xEchinococcosisIntraventricular hydatid cystIntracranial hydatid cyst
spellingShingle Rohan Kumar Singh
Prerna Anup Patwa
Gaurav Vedprakash Mishra
Rajasbala Pradeep Dhande
Shivali Vaibhav Kashikar
Bhavik Sunit Unadkat
An unusual case report on intracranial hydatid cyst with intraventricular extension
The Egyptian Journal of Radiology and Nuclear Medicine
Echinococcosis
Intraventricular hydatid cyst
Intracranial hydatid cyst
title An unusual case report on intracranial hydatid cyst with intraventricular extension
title_full An unusual case report on intracranial hydatid cyst with intraventricular extension
title_fullStr An unusual case report on intracranial hydatid cyst with intraventricular extension
title_full_unstemmed An unusual case report on intracranial hydatid cyst with intraventricular extension
title_short An unusual case report on intracranial hydatid cyst with intraventricular extension
title_sort unusual case report on intracranial hydatid cyst with intraventricular extension
topic Echinococcosis
Intraventricular hydatid cyst
Intracranial hydatid cyst
url https://doi.org/10.1186/s43055-022-00727-x
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