Vol 44, No 3 (2010)

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The Dowling-Orlando technique in a giant primary cerebral hydatid cyst: a case report

Murat Altaş1, Yurdal Serarslan1, Ramazan Davran2, Ömer Evirgen3, Mustafa Aras1, Nebi Yilmaz1
DOI: 10.1016/S0028-3843(14)60046-3
Neurol Neurochir Pol 2010;44(3):304-307.


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.

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Neurologia i Neurochirurgia Polska