Milind S Tullu, Professor, Department of Pediatrics, Seth G.S. Medical College & KEM Hospital, Parel, Mumbai,, India
Shruti Chendkale Junior Resident-III, Department of Pediatrics, Seth G.S. Medical College & KEM Hospital, Parel, Mumbai,, India
Aishwarya Lachake Assistant Professor, Department of Pediatrics, Seth G.S. Medical College & KEM Hospital, Parel, Mumbai,, India
Neha Pichad Assistant Professor, Department of Pediatrics, Seth G.S. Medical College & KEM Hospital, Parel, Mumbai, India
Address for correspondence: Milind S Tullu,, Professor, Department of Pediatrics, Seth G.S. Medical College & KEM Hospital, Parel, Mumbai,, India E-mail: milindtullu@yahoo.com
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Chendkale S, Lachake A, Pichad N, et al. Primary Intracranial Hydatid Cyst: A Rare Parasitic Infection. Indian J Trauma Emerg Pediatr. 2025;17(2):57–60.
Timeline
Received : September 28, 2025
Accepted : December 19, 2025
Published : December 31, 2025
Abstract
Hydatid cyst is a parasitic infection caused by Echinococcus granulosus. Intracranial hydatid cysts are rare and remain asymptomatic for prolonged periods. Complete & intact excision of cyst (to prevent anaphylactic shock) is mainstay of treatment. Pre & post-operative albendazole plays an important role along with oral steroids.
We report an eleven-years-old girl presenting with headache, vomiting and weakness of right upper & lower limb. MRI brain revealed a well-defined cystic lesion in left fronto parietal lobe with significant midline shift (hydatid cyst). Patient was treated with albendazole and oral steroids. Complete excision of the cyst was performed. Albendazole was continued post-operatively for 3 months.
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Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
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Cite this article
Chendkale S, Lachake A, Pichad N, et al. Primary Intracranial Hydatid Cyst: A Rare Parasitic Infection. Indian J Trauma Emerg Pediatr. 2025;17(2):57–60.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
MRI showing T1-hypointense, T2-hyperintense & FLAIR-hypointense cystic lesion (7.6*7.1*6.9 cm), in left frontoparietal lobe with enhancing walls with perilesional edema & mass effect with midline shift of 8.7 mm towards the right without diffusion restriction, suggesting solitary hydatid cyst (T1W Axial, T2W Axial & Flair images from left to right)
Description: No description available.
Excised hydatid cyst wall (white gelatinous membrane with hydatid sand)
Description: No description available.
H & E (x 100) showing fragments of laminated cyst wall & germinal layer with cuboidal lining