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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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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