A New Technique in Surgical Management of the Giant Cerebral Hydatid Cysts

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Aydin M. D., Karaavcı N. Ç., Akyuz M. E., Sahın M. H., Zeynal M., Kanat A., ...Daha Fazla

JOURNAL OF CRANIOFACIAL SURGERY, cilt.29, sa.3, ss.778-782, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 29 Sayı: 3
  • Basım Tarihi: 2018
  • Doi Numarası: 10.1097/scs.0000000000004236
  • Dergi Adı: JOURNAL OF CRANIOFACIAL SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.778-782
  • Anahtar Kelimeler: Balloon insertion, echinococcus granulosus, hydatid cyst, postoperative complication, surgical technique, ANTERIOR VERTEBRAL HEIGHT, PEDICLE SCREW FIXATION, FRACTURED VERTEBRA, BRAIN, NEUROSURGERY, RESTORATION, VASOSPASM, REMOVAL
  • Atatürk Üniversitesi Adresli: Evet

Özet

Objectives:In hydatid disease, the central nervous system is affected approximately in 2% to 3% of patients. Surgical management in these patients is important. To develop a surgical technique to avoid the formation of great volume of cavity after hydatid cyst removal and prevent complications associated with brain collapse and cortical convolution.Patients and Methods:In 2 patients, hydatid cysts were delivered by this new technique. A balloon filled with 150 cc of sterile air/distilled water was placed in the cavity until the balloon filled the entire cavity. Air/distilled water evacuation was continued at a rate of 20cc/d and, after a week, eventually, the balloons were removedResults:All cysts were delivered without rupture. Neurologic outcomes were good. No complications were observed related to usage of the system such as balloon rupture, evacuation problems, and infection.Conclusion:The authors believe that the balloon insertion technique may be a useful method to prevent brain collapse, cortical convolution, and complications associated with this condition. Further technical refinements of the system are needed for better results.