PDF(Pubmed)
Abstract：
UNASSIGNED: Involvement of central nervous system (CNS) by Hydatid cyst is rare comprising 0.5-4% of all hydatid cysts and principally affecting those younger than 20 years, giving rise to cystic masses mostly in the cerebral hemispheres. To report the clinicopathological findings of CNS hydatid cysts, we diagnosed and review the findings of the previous studies.
UNASSIGNED: All cases reported in our Section between January 1, 2001, and June 30, 2022, were included in the study. By searching our files, cases were retrieved, and diagnosis was confirmed. Follow-up was received on telephone. Ethical exemption was obtained.
UNASSIGNED: Thirty-three cases were diagnosed. Almost all were received from rural areas. There were 17 females and 16 males. Mean and median age were 20 and 19 years, respectively. Over 60% were younger than 20 years of age. All 33 involved the cerebral and cerebellar hemispheres. Seventy six percent were supratentorial while 24% were infratentorial. The most common signs and symptoms included weakness, headaches, and seizures. All appeared as solitary cystic masses on imaging. Almost 67% were clinically suspected to be hydatid cysts. Grossly, thin-walled transparent unilocular or multilocular cysts filled with viscous material were received intact in 52% and in multiple pieces in 48% cases. Intact cysts measured 7 cm on average. All demonstrated typical histology. Of the nine patients whose follow-up was available, one died from unspecified acute surgery related complications. Four patients were asymptomatic at the time of follow-up, whereas four developed recurrent cysts. All eight received albendazole therapy.
UNASSIGNED: Cerebellum/posterior fossa location was common. Several cases were received in multiple pieces with increased risk of recurrence. Clinicopathological features were similar to those reported in literature. This series will hopefully serve to increase awareness regarding CNS hydatid disease.
UNASSIGNED: All cases reported in our Section between January 1, 2001, and June 30, 2022, were included in the study. By searching our files, cases were retrieved, and diagnosis was confirmed. Follow-up was received on telephone. Ethical exemption was obtained.
UNASSIGNED: Thirty-three cases were diagnosed. Almost all were received from rural areas. There were 17 females and 16 males. Mean and median age were 20 and 19 years, respectively. Over 60% were younger than 20 years of age. All 33 involved the cerebral and cerebellar hemispheres. Seventy six percent were supratentorial while 24% were infratentorial. The most common signs and symptoms included weakness, headaches, and seizures. All appeared as solitary cystic masses on imaging. Almost 67% were clinically suspected to be hydatid cysts. Grossly, thin-walled transparent unilocular or multilocular cysts filled with viscous material were received intact in 52% and in multiple pieces in 48% cases. Intact cysts measured 7 cm on average. All demonstrated typical histology. Of the nine patients whose follow-up was available, one died from unspecified acute surgery related complications. Four patients were asymptomatic at the time of follow-up, whereas four developed recurrent cysts. All eight received albendazole therapy.
UNASSIGNED: Cerebellum/posterior fossa location was common. Several cases were received in multiple pieces with increased risk of recurrence. Clinicopathological features were similar to those reported in literature. This series will hopefully serve to increase awareness regarding CNS hydatid disease.
摘要：
■包虫囊肿对中枢神经系统（CNS）的影响很少，占所有包虫囊肿的0.5-4％，主要影响年龄小于20岁的人，主要在大脑半球引起囊性肿块。报告中枢神经系统包虫囊肿的临床病理发现，我们诊断并回顾了以前的研究结果.
■我们部门在2001年1月1日至2022年6月30日期间报告的所有病例均纳入研究。通过搜索我们的文件，案件被找回，诊断得到证实。在电话中收到了跟进。获得了道德豁免。
■共诊断33例。几乎都是从农村地区接收的。有17名女性和16名男性。平均年龄为20岁和19岁，分别。超过60％的年龄小于20岁。所有33个都涉及大脑和小脑半球。76％为幕上，而24％为幕下。最常见的体征和症状包括虚弱，头痛,和癫痫发作。所有影像学表现为孤立的囊性肿块。临床上怀疑有67％是包虫囊肿。严重的,填充有粘性物质的薄壁透明单眼或多房性囊肿在52％的病例中完整接受，在48％的病例中多片。完整的囊肿平均测量7厘米。全部表现出典型的组织学。在有随访的9名患者中，1人死于未指明的急性手术相关并发症.四名患者在随访时无症状，而4例发展为复发性囊肿。所有八个人都接受了阿苯达唑治疗。
■小脑/后颅窝位置常见。多件收到几例病例，复发风险增加。临床病理特征与文献报道的相似。该系列有望提高对中枢神经系统包虫病的认识。
■我们部门在2001年1月1日至2022年6月30日期间报告的所有病例均纳入研究。通过搜索我们的文件，案件被找回，诊断得到证实。在电话中收到了跟进。获得了道德豁免。
■共诊断33例。几乎都是从农村地区接收的。有17名女性和16名男性。平均年龄为20岁和19岁，分别。超过60％的年龄小于20岁。所有33个都涉及大脑和小脑半球。76％为幕上，而24％为幕下。最常见的体征和症状包括虚弱，头痛,和癫痫发作。所有影像学表现为孤立的囊性肿块。临床上怀疑有67％是包虫囊肿。严重的,填充有粘性物质的薄壁透明单眼或多房性囊肿在52％的病例中完整接受，在48％的病例中多片。完整的囊肿平均测量7厘米。全部表现出典型的组织学。在有随访的9名患者中，1人死于未指明的急性手术相关并发症.四名患者在随访时无症状，而4例发展为复发性囊肿。所有八个人都接受了阿苯达唑治疗。
■小脑/后颅窝位置常见。多件收到几例病例，复发风险增加。临床病理特征与文献报道的相似。该系列有望提高对中枢神经系统包虫病的认识。
