Recurrent multiple primary intracranial hydatid cysts: a case report

Brain hydatid cysts are rare and mostly occur as solitary supratentorial cysts in children. Multiple primary intracranial hydatid cysts are even rarer. A 26-year-old cattle farmer, diagnosed as a case of brain hydatidosis, had undergone multiple surgeries. He presented with headache and right hemiparesis, and was re-diagnosed with recurrent hydatid disease. He underwent surgery using Dowling technique and was discharged on tablet Albendazole. Brain hydatidosis should be ruled out in patients who present with raised intracranial pressure symptoms in endemic regions. Recurrent disease may require multiple surgeries and long-term treatment and follow-up.