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The Dowling-Orlando technique in a giant primary cerebral hydatid cyst: a case report
- department of neurosurgery
- 1 st Department of Radiology, Medical University of Lublin, ul. Jaczewskiego 8, 20-090 Lublin, Poland
- 1. Department of Infectious Diseases and Clinical Microbiology, Medeniyet University, Goztepe Training and Research Hospital, Istanbul, Turkey
open access
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.
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.
Keywords
Dowling-Orlando technique, giant cerebral cyst, hydatid disease
Title
The Dowling-Orlando technique in a giant primary cerebral hydatid cyst: a case report
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
304-307
Page views
271
Article views/downloads
718
DOI
10.1016/S0028-3843(14)60046-3
Bibliographic record
Neurol Neurochir Pol 2010;44(3):304-307.
Keywords
Dowling-Orlando technique
giant cerebral cyst
hydatid disease
Authors
Murat Altaş
Yurdal Serarslan
Ramazan Davran
Ömer Evirgen
Mustafa Aras
Nebi Yilmaz