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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Primary hydatidosis of the central nervous system: A retrospective study of 39 Tunisian cases
Clinical Neurology and Neurosurgery, Volume 112, No. 1, Year 2010
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Description
Objective: To analyze epidemiological characteristics, clinical symptoms, radiological aspects, treatment and outcome of central nervous system hydatidosis and compare our results with those reported in literature. Patients and methods: In our retrospective study, we reviewed 39 cases of primary central nervous system hydatid cysts operated on in our hospital between 1998 and 2007. Results: There were 20 male and 19 female patients (sex-ratio M/F = 1.05) between 2 and 68 years of age (mean = 26.5 years). Thirteen of the patients were children (33.3%) with a mean age of 6.8 years and 26 were adults (66.7%) with a mean age of 36.3 years. The location of hydatid cysts was intracranial in 27 cases (69.2%) and spinal in 12 cases (30.8%). Headache and motor deficits were the predominant symptoms in patients with intracranial hydatidosis whereas back pain and spinal cord compression syndrome were the most frequent clinical presentations in patients with spinal hydatidosis. All patients underwent surgical resection of the cyst. Pathologic findings were consistent with hydatid cyst in all cases. During the follow-up period which ranged between 12 months and 5 years, 12 patients had recurrence (30.7%). Only one patient with intracranial hydatid cyst died postoperatively due to anaphylactic shock. Conclusion: Despite all the advances in imaging techniques and therapeutic methods, central nervous system hydatidosis remains difficult to cure and patient outcomes are not satisfactory especially in case of spinal involvement due to the high incidence of recurrence. © 2009 Elsevier B.V. All rights reserved.
Authors & Co-Authors
Limaïem, Faten
Tunisia, Tunis
Hôpital la Rabta
Bellil, Selma Ben Haha
Tunisia, Tunis
Hôpital la Rabta
Bellil, Khadija
Tunisia, Tunis
Hôpital la Rabta
Chelly, Inès
Tunisia, Tunis
Hôpital la Rabta
Mekni, Amina Ep Nouira
Tunisia, Tunis
Hôpital la Rabta
Khaldi, Moncef M.
Tunisia, Tunis
Hôpital la Rabta
Haouet, Slim
Tunisia, Tunis
Hôpital la Rabta
Zitouna, Mouhamed Moncef
Tunisia, Tunis
Hôpital la Rabta
Kchir, Nidhammeddine K.
Tunisia, Tunis
Hôpital la Rabta
Statistics
Citations: 47
Authors: 9
Affiliations: 1
Identifiers
Doi:
10.1016/j.clineuro.2009.09.001
ISSN:
03038467
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study
Participants Gender
Male
Female