Giant hydatid cyst of the brain
https://doi.org/10.63769/1683-3295-2025-27-3-116-124
Abstract
Echinococcal brain damage is a fairly rare pathology. Hydatid cysts are an urgent problem of neurosurgery. As a rule, echinococcal cysts of the brain are detected at the stage of clinical manifestations, when the cyst already significantly compresses the brain, thereby causing neurological deficiency. Surgical treatment of hydatid cysts requires special delicacy, appropriate experience and practical skills of the operating neurosurgeon.
A clinical case of successful surgical treatment of a five-year-old patient with a giant echinococcal cyst of the brain, combined with an echinococcal lesion of S3, 4 segments of the right lung is presented. The analysis of the literature is carried out.
A total removal of a giant hydatid cyst of the right hemisphere of the brain was performed, without damaging its walls by hydro dissection with simultaneous mechanical compression. A complete regression of focal neurological symptoms has been achieved.
Radical treatment of the hydatid cyst of the brain is only surgical and consists in its total removal without damaging its membranes. Hydro preparation in combination with gentle manual hydrodynamic compression of the brain allows to remove a hydatid cyst without damaging its walls.
Supporting agencies: Authors express special thanks to A.V. Yudanov, the Head Physician of the State Novosibirsk Regional Clinical Hospital, for the administrative support and to all the specialists who took part in the technical editing of the manuscript.
About the Authors
Sh. Aul
State Novosibirsk Regional Clinical Hospital
Russian Federation
Russian Federation
Shalinder Aul.
130 Nemirovich-Danchenko St., Novosibirsk 630087
E. B. Manuylov
State Novosibirsk Regional Clinical Hospital
Russian Federation
Russian Federation
130 Nemirovich-Danchenko St., Novosibirsk 630087
A. G. Bobylev
State Novosibirsk Regional Clinical Hospital
Russian Federation
Russian Federation
130 Nemirovich-Danchenko St., Novosibirsk 630087
S. V. Abdrahmanov
State Novosibirsk Regional Clinical Hospital
Russian Federation
Russian Federation
130 Nemirovich-Danchenko St., Novosibirsk 630087
V. V. Stupak
Y.L. Tsivyan Novosibirsk Research Institute of Traumatology and Orthopedics, Ministry of Health of Russia
Russian Federation
Russian Federation
17 Frunze St., Novosibirsk 630091
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Review
For citations:
Aul Sh., Manuylov E.B., Bobylev A.G., Abdrahmanov S.V., Stupak V.V. Giant hydatid cyst of the brain. Russian journal of neurosurgery. 2025;27(3):116-124. (In Russ.) https://doi.org/10.63769/1683-3295-2025-27-3-116-124
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