Department of Neurosurgery, Tayfur Ata Sökmen Medical Faculty, Mustafa Kemal University, 31700 Hatay, Turkey.
Neurol Neurochir Pol. 2010 May-Jun;44(3):304-7. doi: 10.1016/s0028-3843(14)60046-3.
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.
包虫病是一种寄生虫病，很少发生在脑部。我们报告一例 26 岁女性，主诉头痛、恶心和呕吐。诊断为颅内包虫囊肿病，通过影像学和血清学检查得到证实。神经学检查显示视乳头水肿和左侧锥体束征。采用 Dowling-Orlando 技术对其进行手术。囊肿未破裂即被切除，术后用阿苯达唑治疗四周。本文讨论了 Dowling-Orlando 技术、微创手术、valsalva 动作以及患者体位的应用，以使重力有利于巨大脑包虫囊肿的手术切除。
