Introduction A total of three cases of childhood central nervous system (CNS) echinococcosis with spinal or posterior fossa involvement having rare localizations, have been presented. Case presentation A 7-year-old boy with spinal involvement applied to our hospital with left leg weakness and inability to walk. A 16-year-old girl with posterior fossa involvement had peripheral facial paralysis, while a 9-year-old girl had headache and vomiting. These cases, diagnosed with cystic echinococcosis with the necessary laboratory and imaging methods, improved with appropriate medical treatment and surgery. Discussion Especially in endemic areas, it should be kept in mind that cystic echinococcosis may present with CNS involvement and should become to mind in the differential diagnosis when neurological findings are detected. Lay Summary: With this report, we attempted to share our experience with cystic echinococcosis in the spinal region and posterior fossa in three children over 1 year, including a description of associated signs and symptoms as well as laboratory and radiological findings. It should be kept in mind that cystic echinococcosis may present with CNS involvement in endemic areas and should be considered in the differential diagnosis when neurological findings are detected. Afterward, the diagnosis should be confirmed with appropriate laboratory and imaging methods. In these cases, rapid recovery can be achieved with appropriate surgical intervention as well as medical treatment.

中文翻译：

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中枢神经系统囊性包虫病罕见病例系列

介绍 总共有 3 例儿童中枢神经系统 (CNS) 棘球蚴病伴有脊柱或后颅窝受累，但很少有定位。病例介绍 一名患有脊柱受累的 7 岁男孩，因左腿无力和无法行走而到我院就诊。一名 16 岁女孩后颅窝受累，出现周围性面瘫，一名 9 岁女孩出现头痛和呕吐。这些病例通过必要的实验室和影像学方法诊断为囊性包虫病，并通过适当的药物治疗和手术得到改善。讨论 特别是在流行地区，应牢记囊性棘球蚴病可能伴有 CNS 受累，当检测到神经系统表现时应在鉴别诊断中考虑。总结：有了这份报告，我们试图分享我们对三名 1 岁以上儿童脊柱区域和后颅窝囊性棘球蚴病的经验，包括相关体征和症状的描述以及实验室和放射学检查结果。应该记住，囊性棘球蚴病可能在流行区出现 CNS 受累，当检测到神经系统表现时，应在鉴别诊断中考虑。之后，应通过适当的实验室和影像学方法确认诊断。在这些情况下，可以通过适当的手术干预和药物治疗来实现快速恢复。包括相关体征和症状的描述以及实验室和放射学检查结果。应该记住，囊性棘球蚴病可能在流行区出现 CNS 受累，当检测到神经系统表现时，应在鉴别诊断中考虑。之后，应通过适当的实验室和影像学方法确认诊断。在这些情况下，可以通过适当的手术干预和药物治疗来实现快速恢复。包括相关体征和症状的描述以及实验室和放射学检查结果。应该记住，囊性棘球蚴病可能在流行区出现 CNS 受累，当检测到神经系统表现时，应在鉴别诊断中考虑。之后，应通过适当的实验室和影像学方法确认诊断。在这些情况下，可以通过适当的手术干预和药物治疗来实现快速恢复。