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Child's Nervous System

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01-07-2018 | Original Paper

An extraaxially localized intrasellar giant hydatid cyst with hypophyseal insufficiency

Authors: Gökhan Çavuş, Vedat Açik, Yeliz Çavuş, Emre Bilgin, Yurdal Gezercan, Ali Ihsan Ökten

Published in: Child's Nervous System | Issue 7/2018

Abstract

Purpose

A hydatid cyst is a parasitic illness that is caused by the larvae of Echinococcus granulosus. Hydatid cysts occur in the liver in 75% and in the lungs in 15% of cases. Central nervous system involvement is rare (perhaps as low as 1%), and the majority of such cases are observed in children. Headache and vomiting are the most frequently observed symptoms. In patients diagnosed with a hydatid cyst, imaging methods and serologic tests are very important for identifying cranial involvement. The most curative method is to remove the unruptured cyst using Dowling’s method and to then wash the resulting gap with sodium chloride.

Methods

The patient was a 16-year-old female with previous occasional headaches, progressive loss of vision, and general affective disorder.

Results

The patient presented at the emergency department with the above-mentioned complaints. She was hospitalized for a large cystic lesion in an extraaxially intrasellar location based on computerized tomography (CT) of the brain. The cyst was excised, and medical treatment was applied.

Conclusions

Hydatid cysts are rarely located in the central nervous system. Treatment involves surgical and medical interventions. In this article, we present the first published case of a giant hydatid cyst with an extraaxial intrasellar location. This is the first such case to be reported in the literature. The cyst caused somnolence, general affective disorder, panhypopituitarism, and progressive loss of vision.

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Title: An extraaxially localized intrasellar giant hydatid cyst with hypophyseal insufficiency
Authors: Gökhan Çavuş
Vedat Açik
Yeliz Çavuş
Emre Bilgin
Yurdal Gezercan
Ali Ihsan Ökten
Publication date: 01-07-2018
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 7/2018
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-017-3715-4

At a glance: The STEP trials

Springer Medicine

An extraaxially localized intrasellar giant hydatid cyst with hypophyseal insufficiency

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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