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

Authors
Journal
Neurologia i Neurochirurgia Polska
0028-3843
Publisher
Elsevier
Volume
44
Issue
3
Identifiers
DOI: 10.1016/s0028-3843(14)60046-3
Keywords
  • Dowling-Orlando Technique
  • Giant Cerebral Cyst
  • Hydatid Disease
  • Technika Dowlinga I Orlando
  • Olbrzymia Torbiel Mózgu
  • Bąblowica
Disciplines
  • Medicine

Abstract

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.

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