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CC BY 4.0 · Surg J (N Y) 2016; 02(01): e7-e10
DOI: 10.1055/s-0035-1570317
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Surgical Planning for the Treatment of a Patient with Multiple, Secondary, Intracranial Echinococcal Cysts

Emmanouel Chatzidakis
1   Department of Neurosurgery, General Hospital of Nikaia-Piraeus “Agios Panteleimon,” Athens, Greece
,
Panagiotis Zogopoulos
1   Department of Neurosurgery, General Hospital of Nikaia-Piraeus “Agios Panteleimon,” Athens, Greece
,
Theofilos S. Paleologos
1   Department of Neurosurgery, General Hospital of Nikaia-Piraeus “Agios Panteleimon,” Athens, Greece
,
Nikolaos Papageorgiou
1   Department of Neurosurgery, General Hospital of Nikaia-Piraeus “Agios Panteleimon,” Athens, Greece
› Author Affiliations
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Publication History

10 October 2015

02 November 2015

Publication Date:
18 December 2015 (online)

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Abstract

A 27-year-old man with a 2-year history of recurrent hospitalizations for various neurologic and cardiologic emergencies was admitted to our hospital presenting with left hemiparesis, which gradually progressed to quadriparesis, bilateral hemianopsia, intracranial hypertension syndrome, and seizures. A diagnosis of echinococcosis was made, based on the radiologic findings of multiple cerebral hydatid cysts and a sizable cyst of the heart. The hydatid cyst of the heart was treated first with a thoracotomy, and after a month he underwent three consecutive surgical operations for the removal of six cerebral cysts. The patient was on albendazole treatment throughout the entire hospitalization, and this led to the shrinkage and finally to the disappearance of two other cerebral cysts. The patient's focal neurologic signs eventually disappeared, with the exception of a slight unilateral hemianopsia. Ten years after his discharge, he remains in a good condition, with no signs of clinical or radiologic relapse.

Keywords

hydatid cyst - cerebral cyst - echinococcosis - surgical treatment - surgical planning
 

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