Успешное лечение первичного эхинококкоза головного мозга

Andriy Sirko; Ihor Kyrpa

doi:10.25305/unj.78785

Authors

Andriy Sirko Dnipropetrovsk State Medical Academy, Dnipro; Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, Ukraine https://orcid.org/0000-0001-6536-2035
Ihor Kyrpa Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, Ukraine

DOI:

https://doi.org/10.25305/unj.78785

Keywords:

echinococcus, primary brain echinococcosis, epidemiology, diagnostics, surgical treatment

Abstract

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.

Author Biographies

Andriy Sirko, Dnipropetrovsk State Medical Academy, Dnipro; Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro

Neurology and Neurosurgery Department; 2nd Cerebral Neurosurgery Department

Ihor Kyrpa, Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro

Cerebral Neurosurgery Department No. 2

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