Cerebral intraventricular echinococcosis in an adult

Hydatid cyst in the third ventricle of the brain: case report of an exceptionally rare condition

Hydatid disease is an endemic zoonotic disease caused by the cestode Echinococcus multilocularis and Echinococcus granulosus. Intra-ventricular hydatid cysts are extremely rare. Even more rarely, and to the best of our knowledge, only three cases of third ventricle involvement have been reported. Herein, we present the fourth case of an intraventricular hydatid cyst in a pediatric patient located in the third ventricle. It is about a 7-year-old girl, of a rural origin, admitted for intracranial hypertension, deterioration of the general status, and weakness on the right side of her body. A cerebral magnetic resonance imaging (MRI) showed the presence of a rounded cystic formation in the third ventricle. The patient was operated through a transfrontal transventricular approach, and the cyst was removed. Postoperative course was uneventful. Hydatid disease should be considered part of the differential diagnosis for cystic lesions of the central nervous system, especially in endemic regions. Total removal of the cysts without rupture is a challenge, but best treatment remains an active nationwide prevention.

Camalote sign in intraventricular hydatid cyst: A rare presentation of uncommon disease

Background:

Hydatid cyst is a common zoonotic condition in endemic areas. Intraventricular hydatid cyst is a rare entity with less than 50 cases published in literature. Floating water lily sign (also called Camalote sign) is very rare in intracranial hydatid cysts. Only a single case report of this sign exists in literature in intraventricular hydatidosis suggesting rupture of hydatid cyst leading to CSF dissemination and frequent poor outcome.

Case Description:

This case report describes the successful management of a 5-year-old child who presented with signs and symptoms of raised intracranial pressure due to large intraventricular hydatid cyst in the right frontal horn, and magnetic resonanace imaging of the brain showed hydatid cyst with typical camalote sign.

Conclusion:

Although very rare, the presence of camalote sign in intraventricular cysts is very categorical in establishing preoperative diagnosis of hydatid cyst, especially in endemic areas.

Third ventricle hydatid cyst: A rare case report and review of the literature

A primary intraventricular hydatid cyst is a very rare phenomenon, which is mostly located in the lateral ventricle. To the best of our knowledge, only two cases of third ventricle hydatid cyst have been reported. Herein, we present a very rare case of third ventricle hydatid cyst in a four- year-old boy with nausea, vomiting, and progressive drowsiness. Neuroradiological examination revealed a large, spherical, well-defined cystic lesion within the third ventricle. The patient underwent surgery using the anterior interhemispheric transcallosal approach, and the cyst was successfully removed using the Dowling's technique. In this case report, we described the first case of transcallosal removal of a rare third ventricle hydatid cyst, which can be considered in the differential diagnosis of suprasellar arachnoid cysts. Caution must be taken in determining the best surgical approach to prevent unexpected complications.

Rupture of Intraventricular Hydatid Cyst: Camalote Sign

Only a few cases of intraventricular hydatid cysts have been described. The camalote or water lily sign is described when there is detachment of the endocyst membrane, resulting in a floating appearance like a water lily. This sign has been described most commonly in hepatic cysts. Here, we describe the camalote sign in an iatrogenically ruptured intraventricular hydatid cyst. Rupture of an intraventricular hydatid cyst poses the threat of widespread dissemination and is described in our case.

Unusual presentation of hydatid cyst - ruptured intraventricular hydatid

Echinococcosis in humans occurs as a result of infection by the larval stages of taenid cestodes of the genus Echinococcus. Most of the intracranial hydatids develop in brain parenchyma. Hydatid cyst within the cerebral ventricle is quite unusual. Literature review showed few case reports of childhood as well as adult intraventricular hydatid cysts. None of these cases presented for the first time with features of ruptured intraventricular cyst. This is a very rare presentation of a common disease. The possibility of infestation with E. granulosus should be included in the differential diagnosis of raised intracranial tension in patients reporting from endemic areas, because the prognosis following surgical intervention is excellent, especially in the pediatric age group.