CONTEMPORARY DIAGNOSTICS OF CEREBRAL ECHINOCOCCOSIS

M.N. Bobojonov, A. Chobulov, N.A. Ulaev

Cerebrum is rare localization of echinococcal cyst. The diagnostics of the desease has some difficulties because clinical progress. The work is based on results of observation of 47 patients (18- 36,7% are children) with cerebral echinococcosis. Echoencephaloscopy (EchoES) is used to all patients. Middle size of bias is 12,5 mm. Diagnostics-precision with the considaration of the anamnesis of life and desease, clinical and EchoES date is 97%. Computer tomography (CT) is used in 32 cases. CT showed that parasite-cysts have oval forms with clear straight outline in 26 (81%), and ovoid forms in 6 (19%) patients. Hypotensive-homogen zones are in all patients.The cysts have clear thin capsules 1-3 mm in 29 (91%) cases. Density of the zones limits to 2-13 un. Housefield wich have no connect with cyst-size. In 94% patients perifocal oedema around of capsule is absent. Magnetic resonance tomography (MRT) in 6 cases shows that cysts are visible at regime of T1 hypointensive and T2 hyperintensive zones. The informaty of CT and MRT under cerebral echinococcosis at preoperation period is 100%.

Keywords: cerebral echinococcosis, echoencephaloscopy, computer tomography, magnetic resonance tomography.

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