PMC9508359_01
PMC9508359_02
axial view of pre-operative MRI showing well defined circumscribed lesion (A); sagittal view of pre-operative MRI showing well-defined circumscribed lesion (B)
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F1
There was also evidence of peri-lesional edema causing mass effect in the form of effacement of left ventricle and midline shift of 9 mm (Figure 1 (A,B)).
chest X-ray anteroposterior view showing no involvement of lungs
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F2
Liver enzymes, chest X-ray and USG abdomen showed no evidence of any lung or liver hydatid lesions (Figure 2).
intra operative picture showing capsule of hydatid cyst
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F3
C-shaped incision was given overdue to a matter based over the sphenoid ridge. Cyst was identified (Figure 3) surrounding brain cortex was isolated by covering savlon soaked cotton patties, the cyst wall was separated from the surrounding brain parenchyma by hydro dissection during which the cyst wall was ruptured and contents were spilled into the surrounding tissue, the spilled contents were removed carefully and through was given using hypertonic saline and chemotherapy was applied (Figure 4).
intra operative picture-hydro dissection
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F4
C-shaped incision was given overdue to a matter based over the sphenoid ridge. Cyst was identified (Figure 3) surrounding brain cortex was isolated by covering savlon soaked cotton patties, the cyst wall was separated from the surrounding brain parenchyma by hydro dissection during which the cyst wall was ruptured and contents were spilled into the surrounding tissue, the spilled contents were removed carefully and through was given using hypertonic saline and chemotherapy was applied (Figure 4).
axial view of CT brain showing post-operative changes
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F5
Post-operative CT brain with contrast was done, showing post-operative calvarial defect noted in left fronto-temporal bone and no residual cyst (Figure 5).