ISSN : 2376-0249 Vol 8 • Iss 5 • 1000756 May, 2021 Clinical-Medical Image I n t e r n a t i o n a l J o u r n a l o f C li n i c a l & M e d i c a l I m a g i n g ISSN: 2376-0249 International Journal of Clinical & Medical Images *Corresponding author: Tokpo AJ, Teaching Hospital of Fes, Morocco, Tel: 00212658372389; E-mail: armeljuniort@yahoo.com Citation: Tokpo AJ, Mohammadine B, Stitou K, Lakhdar F, Benzagmout M, et al. (2021) Unruptured Delivery of Posterior Fossa Hydatid Cyst in Child. Int J Clin Med Imaging 8:756. Copyright: © 2021 Tokpo AJ, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Unruptured Delivery of Posterior Fossa Hydatid Cyst in Child Armel Junior Tokpo, Baderddine Mohammadine, Kaoutar Stitou, Fayçal Lakhdar, Mohammed Benzagmout, Khalid Chakour, Mohammed El-Faiz Chaoui Teaching Hospital of Fes, Morocco Clinical Image We report the case of a 5-years-old boy, presenting progressive headaches and mild cerebellar syndrome (gait disturbance, dysmetria) without signifcant burden on life’s quality. Funduscopic examination revealed grade 2 papilledema. Brain CT scan disclosed a lef cerebellar hypodense unenhanced formation compatible with hydatid cyst (Figure 1). No others location had been found on chest, abdominal and pelvic computed tomography scan. During surgery, the cyst came to view afer sub occipital craniotomy and dura opening (Figure 2) disrupting the cortical surface of the lef cerebellum hemisphere. Complete delivering is achieved without rupture (Figure 3). Hydatid disease is a worldwide disease caused by Echinococcus tapeworm. Two species (Echinococcus granulosis and Echinococcus multilocularis) are linked with humans [1]. Among possible locations, intracranial hydatid cysts are rare (1% to 2%) and posterior fossa’s ones are exceptional [1,2]. Tis afection is an endemic disease in Morocco and children between 5-8 years old are much more concerned [2]. Multiple symptoms related to posterior fossa hydatid cyst could be encountered. Cerebellar syndrome, delayed intracranial hypertension signs (headaches, vomiting, seizures…), cranial nerve defcits [2] or long pathways signs. Brain CT scan is a gold standard for approaching the diagnosis. Typically (as in this case) it is hypodense well limited intra parenchymatous formation without peripheral edema and enhancement afer gadolinium injection [2]. Figure 1: Brain CT scans (a: Before and b: Afer contrast administration) showing a well delineated hypodense unenhancing mass compressing the fourth ventricule without peripheral edema but with obstructive hydrocephalus. Figure 2: Intra operative view of the cyst disrupting cortical cerebellar cortex and stretching superfcial vessels. Figure 3: Complete cyst removal.