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Hydatidosis of the Central Nervous System: Diagnosis and Treatment pp 175–184Cite as

Surgical Treatment of Cerebral Hydatidosis

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Abstract

Surgery is still the treatment of choice for cerebral hydatidosis. Most hemispheral intraparenchymal cysts can be removed using a modified Dowling’s technique with minimal mortality and morbidity, while cysts located in deep or eloquent areas of the brain can be punctured and removed microsurgically with relatively high morbidity rate. The goal of surgery is to remove the cyst with its contents intact without rupturing it. During surgery, one needs to perform a wide craniotomy and the necessary concise cortical incisions and then apply the modified Dowling’s technique. Extradural hydatid cysts are rare, but surgery for this kind of hydatid cyst is similar to surgery for extradural mass lesions, which needs wide exposure, microsurgical dissection, and total removal of hydatid cyst. Surgical complications are rare and may include porencephalia, neurological deficits, hydrocephalus, intracranial infection, and intracranial hematomas, which at times need surgical treatment. Long-term outcome of intact removal of solitary hydatid cyst is favorable, but the long-term outcome of multiple cysts, recurrent cysts, and cysts with extraneural involvement is not promising.

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Acknowledgments

We would like to thank Fuad Sami Haddad, MD, for his supervision, invaluable inputs, and final correction of the manuscript in English.

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Authors and Affiliations

  1. Department of Neurosurgery, First Teaching Hospital of Xinjiang Medical University, Xinjiang, China

    Sailike Duishanbai MD, PhD

  2. Department of General Surgery, First Teaching Hospital of Xinjiang Medical University, No1 Liyusha, Urumqi, Xinjiang, 830054, China

    Hao Wen MD, PhD

Authors
  1. Sailike Duishanbai MD, PhD
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  2. Hao Wen MD, PhD
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Corresponding author

Correspondence to Hao Wen MD, PhD .

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Editors and Affiliations

  1. Department of Neurosurgery, Adnan Menderes University School of Medicine, Aydin, Turkey

    Mehmet Turgut

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© 2014 Springer-Verlag Berlin Heidelberg

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Duishanbai, S., Wen, H. (2014). Surgical Treatment of Cerebral Hydatidosis. In: Turgut, M. (eds) Hydatidosis of the Central Nervous System: Diagnosis and Treatment. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54359-3_15

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  • DOI: https://doi.org/10.1007/978-3-642-54359-3_15

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-54358-6

  • Online ISBN: 978-3-642-54359-3

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