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

Abstract

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.

References

Baglam T, Karatas E, Durucu C, et al. Primary hydatid cyst of the infra temporal fossa .J Craniofac Surg 2009; 20:1200–1201.

Ulutas M, Cinar K, Secer M. Removal of large hydatid cysts with balloon-assisted modification of Dowling’s method: technical report.Acta Neurochir (Wien) 2015; 157:1221–1224.

Arana-Iniquez R, San Julian J. Hydatid cysts of the brain. J Neurosurg 1955; 12:323–335.

Kanat A, Ozdemir B. In reply to the letter to the editor regarding‘‘restoration of anterior vertebral height by short-segment pedicle screw fixation with screwing of fractured vertebra for the treatment of unstable thoracolumbar fractures’’. World Neurosurg 2017; 101:793.

Turk O, Ozdemir NG, Demirel N, et al. Non traumatic intra diploic epidermoid cyst and older age: association or causality?J CraniofacSurg 2017 [Epub ahead of print]

Kanat A. Science in neurosurgery: the importance of the scientificmethod.Neurosurgery 1998; 43:1497

Hall WA. Spinal parasites. World Neurosurg2015; 83:39–40

Izci Y, Tuzun Y, Secer HI, et al. Cerebral hydatid cysts: technique and pitfalls of surgical management. Neurosurg Focus 2008; 24:E15

Arana-Ifiiguez R, San Julian J. Hydatid cysts of the brain. J Neurosurg 1955; 12:323–335

Balak N, Cavumirza C, Yildirim H, et al. Microsurgery in the removal of a large cerebral hydatid cyst: technical case report.Neurosurgery 2006; 59(4 suppl 2):ONSE486.

Altas M, Serarslan Y, Davran R, et al. The Dowling-Orlando technique in a giant primary cerebral hydatid cyst: a case report. Neurol NeurochirPol 2010; 44:304–307.

Salunke P, Patra DP, Mukherjee KK. Delayed cerebral vasospasm and systemic inflammatory response syndrome following intra operative rupture of cerebral hydatid cyst. Acta Neurochir (Wien) 2014; 156:613–614.

Obrador S, Ortiz Gonza ́lez JM. Revisio ́n de 40 casos de quiste hida ́ticodel ence ́falo.Rev Clin Esp 1960; 79:176–181.

Garcia-Uria J, Cabezudo J, Nombela L. Subdural haematoma as acomplication in the surgical removal of intracranial hydatidosis.ActaNeurochir (Wien) 1980; 52:51–54.

Abada M, Galli I, Bousallah A, et al. [Hydatid cysts of the brain. Diagnostic and therapeutic problems apropos of 100 cases].Neurochirurgie 1977; 23:195–204.

Turkmenoglu ON, Kanat A, Yolas C, et al. First report of important causal relationship between the Adamkiewicz artery vasospasm and dorsal root ganglion cell degeneration in spinal sub arachnoid hemorrhage: an experimental study using a rabbit model. Asian JNeurosurg 2017; 12:22–27.

Kanat A, Aydin Y. Prognostic value and determinants of ultra early angiographic vasospasm after aneurysmal subarachnoid hemorrhage.Neurosurgery 2000; 46:505–507.

Kanat A. Brain oxygenation and energy metabolism: part 1—biological function and pathophysiology.Neurosurgery 2003; 52:1508–1509.

Okur A, Ogul H, Sengul G, et al. Magnetic resonance spectroscopy and magnetic resonance imaging findings of the intra cerebral alveolar echinococcosis.J Craniofac Surg 2014; 25:1352–1353.

Aydin MD, Ozkan U, Altinors N. Quadruplets hydatid cysts in brain ventricles: a case report. Clin Neurol Neurosurg 2002; 104:300–302.

Published
2022-08-31
Section
Articles