Echinococcus alveolaris: presenting as a cerebral metastasis.
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TLDR
A case of cerebral alveolar hydatid disease that was thought to be cerebral metastasis is presented, which is an endemic disease in Turkey and especially common in the eastern Anatolia Region.Abstract:
Echinococcus multilocularis (EM) is caused by the larval stage of the tapeworm. The main endemic regions for human alveolar echinococcosis are Central Europe, Russia, Turkey, Japan, China, Eastern France, North America. EM is an endemic disease in Turkey and especially common in the eastern Anatolia Region as seen in our case. The liver is the primary focus of the disease, cerebral localization is rare. Cerebral hydatid disease is approximately 5% of alveolar hydatid cases and generally considered to be fatal. Surgical treatment should be considered whenever possible. We present a case of cerebral alveolar hydatid disease that was thought to be cerebral metastasis.read more
Citations
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Journal ArticleDOI
Hepatobiliary complications of alveolar echinococcosis: A long-term follow-up study.
Tilmann Graeter,Franziska Ehing,Suemeyra Oeztuerk,Richard Andrew Mason,Mark Martin Haenle,Wolfgang Kratzer,Thomas Seufferlein,Beate Gruener +7 more
TL;DR: Hepatobiliary complications occur in about 10% of patients and a significant increase in hepatic transaminase concentrations facilitates the diagnosis, and interventional methods represent viable management options.
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Upregulation of PD-1 on CD4+CD25+T cells is associated with immunosuppression in liver of mice infected with Echinococcus multilocularis
Xiaolin La,Fengbo Zhang,Yanhua Li,Jun Li,Yuyuan Guo,Hui Zhao,Nannan Pang,Xiumin Ma,Hao Wen,Haining Fan,Jianbing Ding,Jianbing Ding +11 more
TL;DR: Results indicate that engagement of the PD-1 and PD-L1 correlates with inhibition of T-cell effector function, cytokine secretion and proliferation in E. multilocularis infection.
Journal ArticleDOI
Disseminated cerebral hydatid disease (multiple intracranial echinococcosis).
TL;DR: This work discusses the presentation, imaging findings and clinical course of three cases (two cystic and one alveolar) of intracranial echinococcal disease in adults.
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Primary Hydatid Cyst of the Brain in a Child: A Case Report.
Alessia Imperato,Alessandro Consales,Marcello Ravegnani,Elio Castagnola,Roberto Bandettini,Andrea Rossi +5 more
TL;DR: Head CT scan and brain MRI showed a huge intra-axial right temporo-parieto-occipital cyst with a marginal calcification, associated with left ventricular uncompensated hydrocephalus, and diagnosis of brain echinococcosis was confirmed by laboratory tests.
Journal ArticleDOI
Fatal Liver and Lung Alveolar Echinococcosis with Newly Developed Neurologic Symptoms due to the Brain Involvement.
Robertas Kvaščevičius,Ona Lapteva,Omar Al Awar,Egle Audronyte,Laura Neverauskiene,Eleonora Kvasceviciene,Vitalijus Sokolovas,Kęstutis Strupas,Audrone Marcinkute,Peter Deplazes,Beat Müllhaupt +10 more
TL;DR: The authors highly recommend implementing neurologic monitoring to the follow-up algorithm for patients with systemically disseminated alveolar echinococcosis and surgery should be considered for all intracranial echinococcal lesions, unless the lesion is located in the eloquent brain area.
References
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A twenty-year history of alveolar echinococcosis: analysis of a series of 117 patients from eastern France.
Solange Bresson-Hadni,Dominique-Angèle Vuitton,Brigitte Bartholomot,Bruno Heyd,Denis Godart,Jean-Philippe Meyer,Stefan Hrusovsky,Becker Mc,Georges Mantion,D. Lenys,Jean-Philippe Miguet +10 more
TL;DR: Radical changes in the diagnosis and the management of alveolar echinococcosis have occurred during the last decade and have contributed to an improvement in the status of the patients affected by this very severe parasitic disease.
Cerebral hydatid disease: CT and MR imaging findings. Swiss Med Wkly
TL;DR: In this paper, the authors describe the characteristic features of cerebral hydatid disease in computed tomography (CT) and magnetic resonance imaging (MRI) in a period of 13 years (1990-2002) and conclude that MR is superior in detecting calcification in the cyst, when present, CT is better in demonstrating cyst capsule, detecting multiplicity and defining the anatomic relationship of the lesion with the adjacent structures.
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Intracerebral alveolar echinococcosis.
M.-P. Algros,Majo F,Solange Bresson-Hadni,S. Koch,J. Godard,Françoise Cattin,B. Delbosc,B. Kantelip +7 more
TL;DR: Two cases of intracerebral E. multilocularis disease which occurred in two infected patients with AE pulmonary metastases are presented and it is indicated that surgical treatment should be envisaged whenever possible.
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Alveolar hydatid disease of the brain. Report of four cases.
Yunus Aydin,Orhan Barlas,Coskun Yolas,Ismail Aydin,Adnan Ceviz,Arif Aladağ,Durkaya Ören,Dursun Akdemir +7 more
TL;DR: It is concluded that cerebral Echinococcus multilocularis lesions are amenable to surgery, and that their removal provides useful prolongation of life despite the presence of hepatic or pulmonary disease.