Can the Requirement of a Diversion Procedure Be Predicted after an Uncomplicated Intracranial Hydatid Cyst Surgery?

Intracranial hydatidosis is mainly a pediatric disease. Surgical evacuation of the mass in toto is the gold standard of therapy. No concise data related to the requirement of diversion procedures after uncomplicated hydatid cyst removal is encountered in the literature. The aim of this report is to...

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Published inPediatric neurosurgery Vol. 42; no. 6; pp. 383 - 386
Main Authors Önal, Çağatay, Erguvan-Önal, Rezzan, Yakinci, Cengiz, Karayol, Ali, Atambay, Metin, Daldal, Nilgün
Format Journal Article
LanguageEnglish
Published Basel, Switzerland S. Karger AG 01.01.2006
Subjects
Brain Diseases - surgery
Brain surgery
Case Report
Case studies
Cerebrospinal Fluid Shunts
Child
Cysts
Echinococcosis - surgery
Female
Humans
Intracranial Hypertension - parasitology
Intracranial Hypertension - surgery
Kidney Diseases - surgery
Medical treatment
Pediatrics
Recurrence
Brain
Pericyst
Echinococcus
Shunt
Hydatid cyst
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Summary:Intracranial hydatidosis is mainly a pediatric disease. Surgical evacuation of the mass in toto is the gold standard of therapy. No concise data related to the requirement of diversion procedures after uncomplicated hydatid cyst removal is encountered in the literature. The aim of this report is to focus on this idea and estimate the necessity of a diversion procedure beforehand. A 6-year-old girl both with intracranial and renal involvement of hydatidosis underwent surgery. Intact removal of the intracranial cyst harboring daughter vesicles was achieved. A persistent porencephalic cyst at the operative site required a shunt 6 months after surgery. Thick pericyst formation was blamed for this specific progress and the pathophysiology is discussed.
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ISSN:1016-2291
1423-0305
DOI:10.1159/000095570