PEDIATRICS Vol. 61 No. 6 June 1978, pp. 915-920
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Cerebral Echinococcosis, a Pediatric Disease: Report of Two Cases With One Successful Five-Year Follow-up

Marilyn Pearl M.D.1, Dimitrios G. Kotsilimbos M.D.1, Harold Z. Lehrer M.D.1, Andavolu Hanumanth Rao M.D.1, Harold Fink M.D.1, and Herman Zaiman M.D.1

1 Division of Pediatric Radiology, New York Medical College, New York City; the Departments of Neurosurgery and Pathology, Metropolitan Hospital Center, New York City; the Department of Radiology, Bird S. Color Hospital, New York City; and the Department of Radiology, Bemidji Community Hospital Bemidji, Minnesota

Two cases of cerebral echinococcosis in children emphasize the need to consider the Echinococcus in the differential diagnosis of children with CNS signs and symptoms. One patient died because of delay in seeking medical attention. The other is now a 22-year-old college student with no evidence of recurrence more than five years after removal of Echinococcus cysts from both brain and liver.

The newer modalities available for diagnosis are discussed.

Therapy with mebendazole is reviewed; this relatively new, highly effective anthelmintic is well tolerated and has been apparently highly effective in a small number of cases.

Submitted on July 25, 1977
Accepted on December 27, 1977




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[Abstract] [PDF]