Ergün R, Okten A I, Yüksel M, Gül B, Evliyaoğlu C, Ergüngör F, Taşkin Y
Department of Neurosurgery, Ankara Numune Hospital, Turkey.
Neurosurg Rev. 1997;20(1):33-7. doi: 10.1007/BF01390523.
Hydatid cysts of central nervous system are rare and comprise only 2% to 3% of all hydatid cysts reported. Orbital localization is very uncommon and has been reported less than 1% of all hydatid diseases. The primary treatment of hydatid disease is surgical. The most important complication of the surgical treatment is secondary hydatidosis due to spillage of the cyst contents. Because of the difficulties of the orbital localization, total extirpation of the cysts without rupture is almost impossible. Preventing spontaneous rupture of the cysts during surgery and postoperative antihelmintic treatment should be taken into consideration in these cases. This study includes four cases who underwent surgery for orbital hydatid cysts. Radiological characteristics, operative technique and postoperative medical therapy are discussed.
中枢神经系统包虫囊肿很罕见，仅占所有报道的包虫囊肿的2%至3%。眼眶定位非常少见，在所有包虫病中报道的比例不到1%。包虫病的主要治疗方法是手术。手术治疗最重要的并发症是由于囊肿内容物溢出导致的继发性包虫病。由于眼眶定位困难，几乎不可能在不破裂的情况下完全摘除囊肿。在这些病例中，应考虑在手术期间防止囊肿自发破裂以及术后进行抗蠕虫治疗。本研究包括4例接受眼眶包虫囊肿手术的患者。讨论了其放射学特征、手术技术和术后药物治疗。
