The successful treatment of primary brain echinococcosis

The case of successful treatment of primary brain affection by echinococcus with formation of giant unicameral cyst in patient 28 year-old is documented. Epidemiological data on echinococcosis occurence in the world, in Ukraine, and in Dnipropetrovsk region is specified. Main focus is giv...

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Main Authors: Andriy Sirko, Ihor Kyrpa
Format: Article
Language:English
Published: Romodanov Neurosurgery Institute 2016-09-01
Series:Ukrainian Neurosurgical Journal
Online Access:https://theunj.org/article/view/78785
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author Andriy Sirko
Ihor Kyrpa
author_facet Andriy Sirko
Ihor Kyrpa
author_sort Andriy Sirko
collection DOAJ
description The case of successful treatment of primary brain affection by echinococcus with formation of giant unicameral cyst in patient 28 year-old is documented. Epidemiological data on echinococcosis occurence in the world, in Ukraine, and in Dnipropetrovsk region is specified. Main focus is given to two aspects: preoperative brain echinococcosis diagnosing through noninvasive neuroimaging methods (brain CT and MRT), and the special features of surgical approach aimed at total removal of giant capillary echinococcal cyst without damaging its integrity.Total echinococcal cyst removal using hydrodynamic expulsion method with maximum head bend to the trepanation side without cyst puncturing was proved the optimal treatment method in cyst localization closer to cerebrum cortex. Specific nature of echinococcal cysts lies in the fact that, in case of expansive growth, their chitinous membrane does not grow into brain tissue, but they rather “move the brain tissue apart”. The cyst is easily removed as it is loosely bound to brain cortex. Knowledge of abovementioned brain echinococcal cysts diagnostics and treatment features enables their preoperative detection and total removal.
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spelling doaj.art-f9c79259596e4529af44b5d8d2d2821e2024-01-23T13:31:36ZengRomodanov Neurosurgery InstituteUkrainian Neurosurgical Journal2663-90842663-90922016-09-013556010.25305/unj.78785The successful treatment of primary brain echinococcosisAndriy Sirko0https://orcid.org/0000-0001-6536-2035Ihor Kyrpa1Dnipropetrovsk State Medical Academy, Dnipro; Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, UkraineMechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, Ukraine The case of successful treatment of primary brain affection by echinococcus with formation of giant unicameral cyst in patient 28 year-old is documented. Epidemiological data on echinococcosis occurence in the world, in Ukraine, and in Dnipropetrovsk region is specified. Main focus is given to two aspects: preoperative brain echinococcosis diagnosing through noninvasive neuroimaging methods (brain CT and MRT), and the special features of surgical approach aimed at total removal of giant capillary echinococcal cyst without damaging its integrity.Total echinococcal cyst removal using hydrodynamic expulsion method with maximum head bend to the trepanation side without cyst puncturing was proved the optimal treatment method in cyst localization closer to cerebrum cortex. Specific nature of echinococcal cysts lies in the fact that, in case of expansive growth, their chitinous membrane does not grow into brain tissue, but they rather “move the brain tissue apart”. The cyst is easily removed as it is loosely bound to brain cortex. Knowledge of abovementioned brain echinococcal cysts diagnostics and treatment features enables their preoperative detection and total removal.https://theunj.org/article/view/78785
spellingShingle Andriy Sirko
Ihor Kyrpa
The successful treatment of primary brain echinococcosis
Ukrainian Neurosurgical Journal
title The successful treatment of primary brain echinococcosis
title_full The successful treatment of primary brain echinococcosis
title_fullStr The successful treatment of primary brain echinococcosis
title_full_unstemmed The successful treatment of primary brain echinococcosis
title_short The successful treatment of primary brain echinococcosis
title_sort successful treatment of primary brain echinococcosis
url https://theunj.org/article/view/78785
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