Solid cerebral echinococcosis mimicking a primary brain tumor

Solitary brain affection is rare in echinococcosis. We report the case of a 35-year-old woman presenting with symptomatic grand-mal epilepsy due to a right frontal, partially cystic space-occupying lesion. Pre-operative computed tomography and magnetic resonance imaging (MRI) suggested a cystic astr...

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Bibliographic Details
Published in:Neurosurgical review 1999-04, Vol.22 (1), p.58-61
Main Authors: NANASSIS, K, ALEXIADOU-RUDOLF, C, TSITSOPOULOS, P, TZIOUFA, V, PETSAS, G, GRIGORIOU, K
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Brain Diseases - diagnosis
Brain Diseases - pathology
Brain Diseases - surgery
Brain Neoplasms - diagnosis
Diagnosis, Differential
Diseases caused by cestodes
Echinococcoses
Echinococcosis - diagnosis
Echinococcosis - pathology
Echinococcosis - surgery
Female
Helminthic diseases
Humans
Infectious diseases
Magnetic Resonance Imaging
Medical sciences
Parasitic diseases
Tomography, X-Ray Computed
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Summary:Solitary brain affection is rare in echinococcosis. We report the case of a 35-year-old woman presenting with symptomatic grand-mal epilepsy due to a right frontal, partially cystic space-occupying lesion. Pre-operative computed tomography and magnetic resonance imaging (MRI) suggested a cystic astrocytoma. However, histological examination yielded the diagnosis of a 'chitinoma', a rare subtype of solid cerebral hydatid disease (echinococcosis). It mimicked a primary brain tumor and, therefore, posed a diagnostic problem. We present the--to our knowledge--first MRI scans in a case of a histologically proven chitinoma.
ISSN:0344-5607
1437-2320
DOI:10.1007/s101430050011