CASE REPORT   

Chirurgia 2018 October;31(5):212-4

DOI: 10.23736/S0394-9508.18.04748-4

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

The complete surgical removal of the hydatid cyst of the posterior fossa: a case report

Kamal CHTIRA ✉, Farid ZAHROU, Mouhssine ASSAMADI, Yassine ELALLOUCHI, Abdelaziz AIT EL QADI, Khalid ANIBA

Department of Neurosurgery, Ibn Tofail Hospital, University Hospital Mohammed 6, Marrakesh, Morocco

The brain hydatidosis is rare. Its frequency does not exceed to 2% of the most of the cases, and the location in the posterior fossa is very exceptional, it generally affects the child and the young adult. The authors report the case of a 9-year-old child who has a contact with uncontrolled dogs operated for a posterior fossa hydatid cyst revealed by high intracranial pressure, static and kinetic cerebellar syndrome evolving rapidly progressive. The cyst was removed totally without rupture by performing the hydro-dissection technique by the slow injection of a saline solution according to the technique as described by Arana Iniguiz, which is difficult when the cyst is located in the posterior cerebral fossa, because this region is inextensible and risk of compression of the neighboring structures during the delivery of the cyst, the complete removal is important in order to avoid a locoregional and systemic dissemination that can have disabling morbidity. The aim of this analysis is to describe this exceptional location, the possible diagnostic and therapeutic means.

KEY WORDS: Child - Surgery - Echinococcosis - Cranial fossa, posterior