• Gokhan Polat, Hayri Ogul, and Goksin Sengul.
• Department of Radiology, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
• World Neurosurg. 2018 Oct 1; 118: 14-15.

BackgroundHydatid cysts (HCs) are caused by parasites, the larvae of Echinococcus granulosus. They usually affect the liver and lung, but primary brain involvement is rarely seen. HCs may cause a mass effect in the brain. For this reason, surgical excision must be performed. Complications may rarely occur after surgery. Recognition of complications is of vital importance.Case DescriptionA 45-year-old man presented with complaints of personality disorder and severe, long-standing headache. The patient had no neurologic deficit. However, there were symptoms associated with increased intracranial pressure. Radiologic examination revealed intracranial HCs. Complications did not develop during the operation. Six months following the surgery, the patient came back after experiencing unconsciousness. Control cerebral magnetic resonance imaging showed multiple cerebral cysts.ConclusionsSurgical resection should be applied carefully in the treatment of cerebral cysts. Complications may occur later in patients who do not develop complications at the time of operation. For this reason, follow-up of the patients should definitely be done by magnetic resonance imaging.Copyright © 2018 Elsevier Inc. All rights reserved.

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