Türk Nöroşirürji Dergisi 2014 , Vol 24 , Num 3
Alveolar Echinococcosis with Cranial Metastasis: Case Report and Review of the Literature
Yavuz ARAS1, Pulat Akın SABANCI1, Osman BOYALI1, Aydın AYDOSELİ1, Mine GÜLLÜOĞLU2, Mebrure Bilge BİLGİÇ2, Kemal Tanju HEPGÜL1
1İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Nöroşirürji Anabilim Dalı, İstanbul, Türkiye
2İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Patoloji Anabilim Dalı, İstanbul, Türkiye
Alveolar echinococcus is a rare parasitic disease that is endemic in Turkey. This progressive disease mainly invades the liver, and develop tumor like lesions that may metastasise to various tissues (lung, spleen, kidney, pancreas, lymphoid tissue, bone, ovaries, suprarenal glands). Cerebral involvement is seen only in 1% of patients infected with this parasite. Only cerebral involvement without liver invasion may be seen in very rare cases. The diagnosis can generally be made via biopsy in the late phases of the disease. The first treatment option is surgical excision followed by medical treatment. We report a 20-year-old young female with intracranial parenchymal and leptomeningeal involvement who was operated for hepatic alveolar echinococcus. The related literature is reviewed. Anahtar Kelimeler : Alveolar echinococcosis, Cranial involvement, Hydatic cyst