Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst

AKCAKAY, Mehmet Osman; Sencer, Altay; İMER, Murat; ARA, Yavuz; AYDOSEL, Aydın; YAKA, Umut

Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst

Umut YAKA, (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Nöroşirurji Anabilim Dalı, İstanbul, Türkiye)

Yavuz ARA, (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Nöroşirurji Anabilim Dalı, İstanbul, Türkiye)

Aydın AYDOSEL, (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Nöroşirurji Anabilim Dalı, İstanbul, Türkiye)

Mehmet Osman AKCAKAY, (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Nöroşirurji Anabilim Dalı, İstanbul, Türkiye)

Altay SENCER, (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Nöroşirurji Anabilim Dalı, İstanbul, Türkiye)

Murat İMER (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Nöroşirurji Anabilim Dalı, İstanbul, Türkiye)

Turkish Neurosurgery

37 2

Yıl: 2013 Cilt: 23 Sayı: 4 Sayfa Aralığı: 505 - 508 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst

Öz:

Hidatik kist hastalığı, Echinococcus granulosusun neden olduğu hayatı tehdit eden parazitik bir enfestasyondur. E. granulosus tipik olarakkaraciğer, akciğer, böbrek ve dalakta kist oluşumu ile sonuçlanır. İntrakranyal kistlerin büyük çoğunluğu soliter ve sekonderdir. Multipl primerserebral kist hidatik oldukça nadir görülür. Bu yazıda, 14 yaşında erkek hastada her iki hemisferi de tutan ve farklı özellikler gösteren bir primermultipl serebral kist hidatik olgusu sunulmaktadır. Kitle etkisine bağlı olarak semptomlara neden olan 14 kist cerrahi olarak çıkartılırken, derinyerleşimli ve asemptomatik olan kist medikal tedavi ile takip edilmiştir. Uygun antibiyotik tedavisine rağmen hasta altı ay sonra epileptik nöbetile başvurmuş ve derin yerleşimli lezyon da ameliyat edilmiştir. Cerrahi sırasındaki gözlemler ve patolojik inceleme farklı özellikler göstermiştir:Perikistik gliozis, jel kıvamında kist içeriği ve kist kavitesi içinde ölmüş skoleksler. Sunulan olgu; nadir görülen primer multipl serebral kisthidatik olgularından biri olması dışında, bildiğimiz kadarıyla etkin medikal tedavi ile ölmüş kist hidatik lezyonlarının da semptomlara nedenolabileceğini gösteren tek olgu olması bakımından önemlidir.

Anahtar Kelime:

Konular: Cerrahi

Primer Multipl Serebral Kist Hidatik: Patolojik Olarak Gösterilen Kist Ölümüne rağmen Semptomatik Bir Olgu Sunumu

Öz:

Hydatid disease is a life-threatening parasitic infestation caused by Echinococcus granulosus. Infection with E. granulosus typically results inthe formation of hydatid cysts in liver, lungs, kidney and spleen. Majority of the intracranial cysts are secondary and solitary. Multiple primarycerebral cysts are uncommon. Surgical and medical management of a 14-year-old boy with multiple primary hydatid cysts are presented. 14cysts, which were symptomatic due to their mass effect, were surgically removed, whereas a deep-seated asymptomatic cyst was followed-upwith medical treatment. Despite proper antibiotic regimen the patient was admitted with epileptic seizures six months later. The deep-seatedlesion was also surgically removed. Intraoperative observations and pathological examination demonstrated different characteristics, withpericystic gliosis, gel-like cyst content and death scolices within the cavity. In addition to the fact, that the presented case is an additionalexample for the rare primary multiple cerebral hydatid cysts, to our knowledge it is the first case of a dead cerebral hydatid cyst, causingsymptoms despite effective medical treatment.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

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APA	YAKA U, ARA Y, AYDOSEL A, AKCAKAY M, Sencer A, İMER M (2013). Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst. , 505 - 508.
Chicago	YAKA Umut,ARA Yavuz,AYDOSEL Aydın,AKCAKAY Mehmet Osman,Sencer Altay,İMER Murat Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst. (2013): 505 - 508.
MLA	YAKA Umut,ARA Yavuz,AYDOSEL Aydın,AKCAKAY Mehmet Osman,Sencer Altay,İMER Murat Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst. , 2013, ss.505 - 508.
AMA	YAKA U,ARA Y,AYDOSEL A,AKCAKAY M,Sencer A,İMER M Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst. . 2013; 505 - 508.
Vancouver	YAKA U,ARA Y,AYDOSEL A,AKCAKAY M,Sencer A,İMER M Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst. . 2013; 505 - 508.
IEEE	YAKA U,ARA Y,AYDOSEL A,AKCAKAY M,Sencer A,İMER M "Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst." , ss.505 - 508, 2013.
ISNAD	YAKA, Umut vd. "Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst". (2013), 505-508.

APA	YAKA U, ARA Y, AYDOSEL A, AKCAKAY M, Sencer A, İMER M (2013). Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst. Turkish Neurosurgery, 23(4), 505 - 508.
Chicago	YAKA Umut,ARA Yavuz,AYDOSEL Aydın,AKCAKAY Mehmet Osman,Sencer Altay,İMER Murat Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst. Turkish Neurosurgery 23, no.4 (2013): 505 - 508.
MLA	YAKA Umut,ARA Yavuz,AYDOSEL Aydın,AKCAKAY Mehmet Osman,Sencer Altay,İMER Murat Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst. Turkish Neurosurgery, vol.23, no.4, 2013, ss.505 - 508.
AMA	YAKA U,ARA Y,AYDOSEL A,AKCAKAY M,Sencer A,İMER M Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst. Turkish Neurosurgery. 2013; 23(4): 505 - 508.
Vancouver	YAKA U,ARA Y,AYDOSEL A,AKCAKAY M,Sencer A,İMER M Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst. Turkish Neurosurgery. 2013; 23(4): 505 - 508.
IEEE	YAKA U,ARA Y,AYDOSEL A,AKCAKAY M,Sencer A,İMER M "Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst." Turkish Neurosurgery, 23, ss.505 - 508, 2013.
ISNAD	YAKA, Umut vd. "Primary Multiple Cerebral Hydatid Disease: Still Symptomatic Despite Pathologically Confirmed Death of the Cyst". Turkish Neurosurgery 23/4 (2013), 505-508.