Gradual and complete delivery of a hydatid cyst of the brain through a single burr hole, a wrong happening!
BACKGROUND
Cerebral hydatidosis is a rare larval infection of the central nervous system affecting mostly the children and young adults.


METHODS
The authors report a case of a 5-year-old girl harboring a large right frontoparietal hydatid cyst. The imaging studies were not diagnostic for 'cerebral hydatidosis' and were interpreted as 'brain abscess'.


CONCLUSIONS
Attempting for simple cannulation of the lesion through a burr hole drained a clear fluid. The cannula was removed promptly but the cyst wall came out little by little through the hole in a single piece which turned out to be the entire wall of a hydatid cyst. She was treated by antihelmintic medications for 6 months and there has been no sign of recurrence after a year. Odd paraclinical imaging characteristics and unique accidental surgical event makes this case the first reported pediatric brain hydatidosis with spontaneous complete delivery of the cyst through a single burr hole which can certainly be considered a wrong attempt if undertaken intentionally.
Anvari
Mohammad
M
Neishabour Medical Centre, Neishabour, Iran.
Amirjamshidi
Abbas
A
Abbassioun
Kazem
K
D015766:Albendazole / Q000627:therapeutic use; D000871:Anthelmintics / Q000627:therapeutic use; D001921:Brain / Q000469:parasitology* / Q000601:surgery*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004443:Echinococcosis / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery*; D005260:Female; D006801:Humans; D016896:Treatment Outcome
D000871:Anthelmintics; D015766:Albendazole