1. A 6 years old girl with progressive strabismus and vision loss
Teaching NeuroImages
Neurology
Resident and Fellow Section
Dekang Nie et al.
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2. Vignette
A 6-year-old girl with a 3-month history of progressive left eye strabismus and vision loss.
The MRI scan of the brain showed a single hypointense lesion in the left cerebral hemisphere with no perilesional edema or contrast enhancement.
At surgery, the lesion was showed to be a single large cystic lesions measuring approximately 7.0 × 6.5 × 6.0 cm.
The patient underwent a complete resection and made an uneventful recovery.
Dekang Nie et al.
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3. Imaging Dekang Nie et al.
Figure1 T1-weighted brain MRI (A-C) and enhanced MRI (B) demonstrates a single hypointense lesion in the left cerebral hemisphere with no perilesional edema and contrast enhancement.
Dekang Nie et al.
Copyright © 2016 by AAN Enterprises, Inc.

4. Imaging Dekang Nie et al.
Figure2 Surgical area (A) and resection specimens (B) show a white floc floating in the cystic fluid (black arrow), thick cyst wall was milkiness. Pathology confirmed a diagnosis of brain cyst with scolex (C).
Dekang Nie et al.
Copyright © 2016 by AAN Enterprises, Inc.

5. Giant cystic echinococcosis with unusual imaging manifestations
Pathology confirmed a diagnosis of cerebral cyst with scolex.
This imaging feature of giant cystic echinococcosis is very unusual.1
Gross total resection has obvious advantages compared with non-surgically with antihelminthics.2
References
1. Stojkovic M, Junghanss T. Cystic and alveolar echinococcosis. Handb Clin Neurol 2013;114:
2. Hajhouji F, Aniba K, Laghmari M, Lmejjati M, Ghannane H, Benali SA. Epilepsy: unusual presentation of cerebral hydatid disease in Children. Pan Afr Med J 2016;25:58.
Dekang Nie et al.
Copyright © 2016 by AAN Enterprises, Inc.