A Catheter Assisted Modification Dowling Technique of Surgery for Intracerebral Hydatid Cyst/ A Case Report


  • Kamil Mhatlaf Zwaid MBChB, FICMS in Neurosurgery, Al Nasiriyah Teaching Hospital, Nasiriyah, Iraq


The aim of our study is to avoid complication associated with a craniotomy for removal of a big cerebral hydatid cyst like cerebral hemorrhage ,CSF leak, cerebral shrinkage and to prevent the formation of a new large volume acquired cyst instead of the original lesion. Materials:                                                                               By this new maneuver study, cerebral hydatid cyst were evacuated completely in tow patients. Catheter fill in ( 100 cubic centimeter)  air/normal saline & put  in hole of cyst till catheter occupies all hole of cyst . Air/normal saline empting is going to average equal to 15 cubic centimeter | 24 hours then beyond a seven days, Finally catheter  released.                                                                                                         Outcome:                                                                                                       Hydatid cysts is evacuated with no bursting. No intra & postoperative complication are seen such as balloon rupture , seizure, CSF leak, hemorrhage and serous  infection.                              Summary:                    Balloon dowling maneuvers may be a good maneuver to a void cerebral shrinkage, intra and postoperative complications associated with this maneuvers. Key Words: Dowling maneuvers, hydatid sand, cerebral cyst, intra operative complication, surgical maneuvers. Collection of data: In our research the collection of data performed in Nasiriyah teaching hospital, tow patient well prepared for surgery with routine preoperative radiological and hematological investigations, fasting at least six hour pre operatively, blood preparations and instruct the patient for preoperative order for steroids, antiepileptic medications, prophylactic antibiotics and DVT prophylaxis like pneumatic compression boots or knee- high TED hose.


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