Giant hydatid cyst of the brain

Echinococcal brain damage is a fairly rare pathology. Hydatid cysts are an urgent problem of neurosurgery. As a rule, echinococcal cysts of the brain are detected at the stage of clinical manifestations, when the cyst already significantly compresses the brain, thereby causing neurological deficiency. Surgical treatment of hydatid cysts requires special delicacy, appropriate experience and practical skills of the operating neurosurgeon. A clinical case of successful surgical treatment of a five-year-old patient with a giant echinococcal cyst of the brain, combined with an echinococcal lesion of S3, 4 segments of the right lung is presented. The analysis of the literature is carried out. A total removal of a giant hydatid cyst of the right hemisphere of the brain was performed, without damaging its walls by hydro dissection with simultaneous mechanical compression. A complete regression of focal neurological symptoms has been achieved. Radical treatment of the hydatid cyst of the brain is only surgical and consists in its total removal without damaging its membranes. Hydro preparation in combination with gentle manual hydrodynamic compression of the brain allows to remove a hydatid cyst without damaging its walls.