Fattah H. Fattah, Azad Star Hattam, Zana Omar kak Abdullah, Khanda A. Anwar, Rezhen J. Rashid, Abdullah K. Ghafour, Alaa B. Latif, Hiwa O. Abdullah and 2 more
Introduction Isolated brain hydatid disease (BHD) is an extremely rare form of echinococcosis. A prompt and timely diagnosis is a crucial step in disease management. This study is a systematic review of studies on intra-parenchymal BHD. Methods Studies that had the following properties were included: 1) The…
Hydatid Disease of The Brain Parenchyma: A Systematic Review
Fattah H. Fattah, Azad Star Hattam, Zana Omar kak Abdullah, Khanda A. Anwar, Rezhen J. Rashid, Abdullah K. Ghafour, Alaa B. Latif, Hiwa O. Abdullah and 2 more
IntroductionIsolated brain hydatid disease (BHD) is an extremely rare form of echinococcosis. A prompt and timely diagnosis is a crucial step in disease management. This study is a systematic review of studies on intra-parenchymal BHD.
MethodsStudies that had the following properties were included: 1) The intra-parenchymal brain infection had been confirmed by diagnostic modalities, surgical findings, or histopathology. 2) The patient details were provided in the study. 3) The cystic lesion [s] were located intracranially.
ResultsAltogether, 112 studies with a sample size of 178 cases met the inclusion criteria. Males (60.1%) showed a higher prevalence of the disease than females (38.2%). Most of the cases (64%) were affected during the first and second decades of their lives. Left-side multi-lobe involvement was the most common type of involvement (28.1%), followed by right-side multi-lobe involvement (26.4%). Surgery was the primary treatment option (97.2%), with the Dowling technique or the modified Arana-Iniguez method as the preferred approach. The total recurrence and mortality rates were 7.3% and 3.4%, respectively.
ConclusionThe definitive treatment for BHD is surgery, with the aim of removing cysts intact or excising mass lesions completely. A history of cyst rupture during operation may increase the likelihood of recurrence, and an extensive follow-up is required.
Abdullah A. Qadir, Ismael Y. Abdullah, Muhammed Bag A. Ali, Rebaz O. Mohammed, Hardi M. Dhair, Yadgar A. Saeed, Aso S. Muhialdeen, Honar Othman Kareem and 8 more
Introduction Hydatid cysts of the thyroid gland, though rare, pose a diagnostic and therapeutic challenge. This systematic review summarizes current knowledge on the presentation, diagnosis, and management. Methods A systematic review of the published studies of thyroid hydatid cysts was conducted. The included…
Presentation and Management of Thyroid Hydatid Cyst: A Comprehensive Systematic Review of the Literature
Abdullah A. Qadir, Ismael Y. Abdullah, Muhammed Bag A. Ali, Rebaz O. Mohammed, Hardi M. Dhair, Yadgar A. Saeed, Aso S. Muhialdeen, Honar Othman Kareem and 8 more
IntroductionHydatid cysts of the thyroid gland, though rare, pose a diagnostic and therapeutic challenge. This systematic review summarizes current knowledge on the presentation, diagnosis, and management.
MethodsA systematic review of the published studies of thyroid hydatid cysts was conducted. The included studies of thyroid hydatid cysts had the following properties: 1) The thyroid infection was confirmed by diagnostic modalities, surgical findings, or histopathology. 2) The case presentation was provided in the study. 3) The cyst(s) were originally located or adhered to the thyroid and did not rupture into it from the other adjacent structures or organs.
ResultsOverall, 39 studies were compatible with the inclusion criteria. Turkey had the highest case occurrence (36%). Female predominance (59%) and a mean age of 38.33 years were observed. Mass (79.5%) was the most common symptom, followed by hoarseness of voice (4%). Serology (18.75% positive) and ultrasound (77.5%) were primarily used for diagnosis. Surgery was the mainstay of treatment (96%), with total thyroidectomy (32.6%) and left hemithyroidectomy (16%) being the most common approaches. No recurrence was reported in the follow-up period (0%).
ConclusionThis review highlights the rarity, clinical presentation, diagnosis, and successful surgical management of thyroid hydatid cysts. Further research is needed to optimize diagnostic methods and explore alternative treatment options.
