Hydatid cysts of the internal acoustic canal and jugular foramen.
Brain involvement with hydatid disease occurs in 1-2% of all Echinococcus granulosus infections. Cerebral hydatid cysts are usually supratentorial, whereas infratentorial lesions are quite rare. Here we report a 19-year-old man with hydatid cysts in the right cerebellopontine cistern with the involvement of internal acoustic canal and jugular foramen. The patient presented with signs of increased intracranial pressure and multiple cranial nerve palsies. Surgery was performed in the semi-sitting position using a lateral suboccipital approach for a right-sided craniotomy. Magnetic resonance imaging clearly demonstrated cisternal, neural and vascular relationships which aided in intact surgical removal of the lesion using microsurgical techniques. Total removal without rupture should be the surgical goal in all hydatid cysts.
Akdemir
Gökhan
G
Mustafa Kemal University, Tayfur Ata Sökmen Medical School, Department of Neurosurgery, 3100 Hatay, Turkey. gokhanakdemir@yahoo.com
Dağlioğlu
Ergün
E
Seçer
Mehmet
M
Ergüngör
Mehmet Fikret
MF
D000328:Adult; D002526:Cerebellar Diseases / Q000175:diagnosis / Q000469:parasitology* / Q000601:surgery; D002530:Cerebellopontine Angle / Q000098:blood supply / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000601:surgery; D003389:Cranial Nerve Diseases / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000601:surgery; D004443:Echinococcosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D019586:Intracranial Hypertension / Q000209:etiology / Q000469:parasitology / Q000601:surgery; D007601:Jugular Veins; D007759:Labyrinth Diseases / Q000175:diagnosis / Q000469:parasitology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D011859:Radiography; D016896:Treatment Outcome