====== Peripontomedullary hydatid cyst ======

{{ ::hydatidcyst.jpg?200|}}

Even when [[Hydatid cyst]] is found in the [[brain]] it presents usually in the [[supratentorial]] compartment. However this case was unique in having the Hydatid cyst within the [[infratentorial]] fossa. With multiple small [[cyst]]s, causing [[mass effect]] and challenging for surgical [[resection]].

A 44 years [[female]] presented with [[headache]], [[diplopia]] and [[bulbar]] [[symptom]]s, followed by [[ataxia]]. Full [[examination]], proper [[investigation]]s showed the peri[[pontomedullary]] hydatid cysts. Surgical management is illustrated.

It is still challenging for the [[neurosurgeon]]s to operate on these [[lesion]]s in spite of modern technologies and fancy [[approach]]es due to its delicate nature, associated [[risk]] of [[allergic reaction]], cyst's material [[dissemination]] and irreversible [[injury]] of multiple neurological structure due to prolonged [[compression]] of [[cranial nerve]]s crossing the [[cerebellopontine angle]].

In this case report Alkhotani et al., from the [[King Faisal Specialist Hospital and Research Center]], present a rare case of Multiple Hydatid cysts involving a rare location in the brain; peripontomedullary area and extending all the way down to the [[foramen magnum]]. Supported with a [[literature review]] in relation to disease [[etiology]], [[epidemiology]], clinical presentation and [[management]]
((Alkhotani A, Butt B, Khalid M, Binmahfoodh M. Peripontomedullary hydatid cyst:
Case report and literature review. Int J Surg Case Rep. 2019 Jan 18;55:23-27.
doi: 10.1016/j.ijscr.2019.01.003. [Epub ahead of print] PubMed PMID: 30710875.
)).