The Dowling-Orlando technique in a giant primary cerebral hydatid cyst: a case report.
Hydatid cyst disease is a parasitic illness that is rarely located in the brain. We present a case of a 26-year-old female who complained of headache, nausea, and vomiting. The diagnosis was intracranial hydatid cyst disease and was confirmed with radiological and serological tests. Neurological examination revealed papilloedema and left-sided pyramidal signs. She was operated on using the Dowling-Orlando technique. The cyst was removed without rupture, and therapy was completed with albendazole for a period of four weeks. In this article, we discuss the application of the Dowling-Orlando technique, microsurgery, the Valsalva manoeuvre and the positioning of the patient such that gravity could facilitate surgical removal of a giant cerebral hydatid cyst.
Altas
Murat
M
Department of Neurosurgery, Tayfur Ata Sökmen Medical Faculty, Mustafa Kemal University, 31700 Hatay, Turkey. draltasmurat@yahoo.com
Serarslan
Yurdal
Y
Davran
Ramazan
R
Evirgen
Omer
O
Aras
Mustafa
M
Yilmaz
Nebi
N
D000328:Adult; D001921:Brain / Q000469:parasitology / Q000601:surgery; D001927:Brain Diseases / Q000469:parasitology* / Q000601:surgery*; D004443:Echinococcosis / Q000175:diagnosis* / Q000601:surgery*; D005260:Female; D006801:Humans; D008866:Microsurgery / Q000379:methods; D019635:Neurosurgical Procedures / Q000379:methods; D016896:Treatment Outcome