Cerebral Echinococcosis

Abstract

Echinococcus granulosus can produce hydatid cysts (HCs) commonly in liver and lung. Central nervous system HCs are rare and comprise 2 - 3%. We found a 25-year-old woman with a medium cerebral HC. She had a rare manifestation, sudden onset of seizure with no other clinical findings 2 hours before admission. Brain CT-scan showed a medium round hypodense lesion at left hemisphere. She had several cystic lesions in right lobe of liver. The cyst was successfully removed without rupture. Although brain HCs is seen mostly in boys, it should be considered in endemic regions, even in young patients with sudden seizure.