title: The Dowling-Orlando technique in a giant primary cerebral hydatid cyst: a case report.
abstract: 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.
authors.affiliation: Department of Neurosurgery, Tayfur Ata Sökmen Medical Faculty, Mustafa Kemal University, 31700 Hatay, Turkey. draltasmurat@yahoo.com
authors.forename: Murat
authors.initials: M
authors.lastname: Altas
authors.forename: Yurdal
authors.initials: Y
authors.lastname: Serarslan
authors.forename: Ramazan
authors.initials: R
authors.lastname: Davran
authors.forename: Omer
authors.initials: O
authors.lastname: Evirgen
authors.forename: Mustafa
authors.initials: M
authors.lastname: Aras
authors.forename: Nebi
authors.initials: N
authors.lastname: Yilmaz
mesh_terms: 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