Affiliations: Department of Pediatrics, Vardhman Mahavir Medical
College and Safdarjung Hospital, New Delhi, India | Department of Neurosurgery, Vardhman Mahavir Medical
College and Safdarjung Hospital, New Delhi, India | Department of Pathology, Vardhman Mahavir Medical
College and Safdarjung Hospital, New Delhi, India
Note: [] Correspondence: Dr. Karam Chand, Senior specialist, Department
of Neurosurgery, 123, Anand Kunj, Vikas Puri, New Delhi, 110018, India. E-mail:
n_awasthy@yahoo.com
Abstract: Hydatid disease or hydatidosis caused by Echinococcus
granulosus is the most widespread, serious human cestode infection in the
world. Brain involvement is reported in 1–2% of all Echinococcus
granulosus infections. Fifty–5% cases of the intracranial hydatid cysts are
seen in children. We report a case of this rare entity of the isolated
intracranial extradural hydatid cysts in an 18 years old young boy, who
presented with history of generalized seizures and raised intracranial
pressure. The patient underwent craniotomy with total excision of the cysts.
The diagnosis of the hydatid disease was confirmed on histopathology. Patient
was given albendazole for 3 months postoperatively. Postoperative computed
tomography scan done 1 month later showed no residual cysts, however 2 years
later patient again presented with recurrent seizures and this time computed
tomography showed recurrence of cysts. Patient underwent craniotomy again with
excision of the hydatid cysts and has been asymptomatic for the last 4
months.
