Giant Hydatic Cyst in a 2-Year-Old Infant

Background: Infantile cerebral hydatidosis is a serious infection and represents major problem of public health that threatens the economy countries in which it endemic. It imposes large-scale prophylaxis based on interruption parasite cycle. Case description: We present case 2-year-old girl with no medical history living rural region (Sidi Ifni), where contact dogs, sheep, cattle not uncommon. One month before her admission, increased intracranial pressure (ICP) symptoms appeared made headaches, vomiting, visual disturbances. 15 days later, motor deficits impaired consciousness were installed. The clinical examination found sleepy infant Glascow Coma Scale at 14, left hemiparesis 2/5 (Medical Research Council score), bilateral 6th nerve palsy, A brain CT scan was performed, showing round hypodense intraparenchymal lesion right frontal lobe. intervention performed to remove gliant hydatic cyst according Dowling-Orlando technique. Postoperatively patient had deficit. histopathological exam confirmed diagnosis an echinococcus granulosis cyst. Conclusion: Presentation such giant very rare. In cases, genotype analysis should be performed. surveillance dogs periodic testing their stools, treatment if they are infected, preventing access raw offal slaughterhouses farms, will effective controlling menace hydatidosis.