Solid cerebral echinococcosis mimicking a primary brain tumor

Neurosurg Rev. 1999;22(1):58-61. doi: 10.1007/s101430050011.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brain Diseases / diagnosis*
  • Brain Diseases / pathology
  • Brain Diseases / surgery
  • Brain Neoplasms / diagnosis*
  • Diagnosis, Differential
  • Echinococcosis / diagnosis*
  • Echinococcosis / pathology
  • Echinococcosis / surgery
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Tomography, X-Ray Computed