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Year : 2015  |  Volume : 8  |  Issue : 1  |  Page : 4-13

Spotlight on the brain hydatid cyst and whether its location is accidental or target

Department of Parasitology, Faculty of Medicine, Assiut University, Assiut, Egypt

Correspondence Address:
Refaat M. A. Khalifa
Department of Parasitology, Faculty of Medicine, Assiut University, 71526, Assiut
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1687-7942.163403

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Hydatidosis of the brain is a rare disease. The diagnosis is usually late because of its slow progression and absence of specific symptoms. This review attempted to throw light on some aspects of cerebral hydatidosis because of deficient clinical suspicion of the disease, and imaging investigations are sometimes inadequate and biopsy reports inconclusive. Thus, the literature pertaining to parasitic causes, the incidence, the pathogenesis, the clinical picture, the diagnosis, and the management of the disease were overviewed. Our intention was to alert parasitologists and neurosurgeons concerning this morbid and rare condition, and to emphasize the fact that parasitic infection should be suspected in cystic lesions affecting the brain, especially in endemic areas of the world. Moreover, we aim to discuss or derive an answer to some amazing aspects of the disease. These include its clear abundance in children and in young age, its unusual huge size in their brains, whether the brain is an accidental or a target location, its extreme rarity in domestic animal's brains, the usual failure of serological and immunological tests used for its diagnosis, the wide range of clinical manifestations and differential diagnoses, and the recent measures used for its treatment and control.

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