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

Altaş M., SERARSLAN Y., Davran R., Evirgen Ö., Aras M., Yilmaz N.

Neurologia i Neurochirurgia Polska, vol.44, no.3, pp.304-307, 2010 (SCI-Expanded, Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 44 Issue: 3
  • Publication Date: 2010
  • Doi Number: 10.1016/s0028-3843(14)60046-3
  • Journal Name: Neurologia i Neurochirurgia Polska
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.304-307
  • Keywords: Dowling-Orlando technique, Giant cerebral cyst, Hydatid disease
  • Hatay Mustafa Kemal University Affiliated: Yes

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.