The Complications of Cerebral Hydatid Cyst Surgery in Children

Overview

Journal Childs Nerv Syst

Specialty Pediatrics

Date 2009 Aug 8

PMID 19662423

Citations 9

Authors

Yusuf Tuzun

Ilker Solmaz

Goksin Sengul

Yusuf Izci

Affiliations

Soon will be listed here.

Abstract

Purpose: Complications related to cerebral hydatid cyst surgery are not uncommon but require prompt diagnosis and treatment. The aim of this study is to demonstrate the radiological findings that would indicate complications after cerebral hydatid cyst surgery in children and to report our results.

Method: The data of 25 pediatric patients who underwent surgery for cerebral hydatid cysts over a 16-year period were analyzed retrospectively. The complications related to surgical technique and cyst location were recorded. Postoperative radiological findings of the patients were documented.

Results: Intraoperative cyst rupture occured in three patients. Subdural effusion developed in five patients, porencephalic cyst in four, subdural effusion associated with porencephalic cyst in two, hemorrhage in two, epidural hematoma in one, and pneumocephalus in three patients. Subdural-peritoneal shunt was placed in two patients. Recurrence of cerebral hydatid cyst was observed in only one patient who experienced intraoperative cyst rupture. There was no surgery-related death.

Conclusions: The complications following cerebral hydatid cyst surgery in children are various and usually not fatal. When appropriate surgical procedures are planned and carefully applied, the results will be excellent with no mortality.

Citing Articles

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A Very Rare Complication of Cerebral Hydatid Cyst Surgery: Cortical Collapse.

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PMID: 29675074 PMC: 5890555. DOI: 10.4103/jpn.JPN_82_17.

References

Koizumi H, Fukamachi A, Nukui H . Postoperative subdural fluid collections in neurosurgery. Surg Neurol. 1987; 27(2):147-53. DOI: 10.1016/0090-3019(87)90286-2. View

Diaz P, Maillo A . [Middle cerebral artery occlusion after cerebral hydatic embolism in a pediatric patient: case report]. Neurocirugia (Astur). 2002; 13(3):216-8. DOI: 10.1016/s1130-1473(02)70620-9. View

CARREA R, Dowling Jr E, GUEVARA J . Surgical treatment of hydatid cysts of the central nervous system in the pediatric age (Dowling's technique). Childs Brain. 1975; 1(1):4-21. DOI: 10.1159/000119553. View

Tuzun Y, Kadioglu H, Izci Y, Suma S, Keles M, Aydin I . The clinical, radiological and surgical aspects of cerebral hydatid cysts in children. Pediatr Neurosurg. 2004; 40(4):155-60. DOI: 10.1159/000081932. View

Scherer R, Van Aken H, Lawin P, Dorsic D . [Tension pneumocephalus. A frequently misconstrued complication following neurosurgical operations]. Neurochirurgia (Stuttg). 1984; 27(3):59-61. DOI: 10.1055/s-2008-1053729. View

Singounas E, Leventis A, Sakas D, Hadley D, Lampadarios D, Karvounis P . Successful treatment of intracerebral hydatid cysts with albendazole: case report and review of the literature. Neurosurgery. 1992; 31(3):571-4. DOI: 10.1227/00006123-199209000-00022. View

Ozek M . Complications of central nervous system hydatid disease. Pediatr Neurosurg. 1994; 20(1):84-91. DOI: 10.1159/000120770. View

Fukamachi A, Koizumi H, Nukui H . Postoperative intracerebral hemorrhages: a survey of computed tomographic findings after 1074 intracranial operations. Surg Neurol. 1985; 23(6):575-80. DOI: 10.1016/0090-3019(85)90006-0. View

AYRES C, DAVEY L, German W . CEREBRAL HYDATIDOSIS. CLINICAL CASE REPORT WITH A REVIEW OF PATHOGENESIS. J Neurosurg. 1963; 20:371-7. DOI: 10.3171/jns.1963.20.5.0371. View

10.

Cataltepe O, Colak A, Ozcan O, Ozgen T, Erbengi A . Intracranial hydatid cysts: experience with surgical treatment in 120 patients. Neurochirurgia (Stuttg). 1992; 35(4):108-11. View

11.

Izci Y, Tuzun Y, Secer H, Gonul E . Cerebral hydatid cysts: technique and pitfalls of surgical management. Neurosurg Focus. 2008; 24(6):E15. DOI: 10.3171/FOC/2008/24/6/E15. View

12.

Korinth M, Lippitz B, Mayfrank L, Gilsbach J . Subdural-atrial and subdural-peritoneal shunting in infants with chronic subdural fluid collections. J Pediatr Surg. 2000; 35(9):1339-43. DOI: 10.1053/jpsu.2000.9328. View

13.

Al-Yamany M, Del Maestro R . Prevention of subdural fluid collections following transcortical intraventricular and/or paraventricular procedures by using fibrin adhesive. J Neurosurg. 2000; 92(3):406-12. DOI: 10.3171/jns.2000.92.3.0406. View

14.

Ersahin Y, Mutluer S, Guzelbag E . Intracranial hydatid cysts in children. Neurosurgery. 1993; 33(2):219-24; discussion 224-5. View

15.

GERSTLE DE PASQUET E, Pietra M, Iniquez R . Epileptic seizures as an early complication of neurosurgery. Acta Neurol Latinoam. 1976; 22(1-4):144-51. View

16.

Horton R . Albendazole in treatment of human cystic echinococcosis: 12 years of experience. Acta Trop. 1997; 64(1-2):79-93. DOI: 10.1016/s0001-706x(96)00640-7. View

17.

Ersahin Y, Tabur E, Kocaman S, Mutluer S . Complications of subduroperitoneal shunting. Childs Nerv Syst. 2000; 16(7):433-6. DOI: 10.1007/PL00007288. View

18.

Reasoner D, Todd M, Scamman F, Warner D . The incidence of pneumocephalus after supratentorial craniotomy. Observations on the disappearance of intracranial air. Anesthesiology. 1994; 80(5):1008-12. DOI: 10.1097/00000542-199405000-00009. View

19.

Garcia-Uria J, Cabezudo J, Nombela L . Subdural haematoma as a complication in the surgical removal of intracranial hydatidosis. Acta Neurochir (Wien). 1980; 52(1-2):51-4. DOI: 10.1007/BF01400946. View

20.

Kocaman S, Ersahin Y, Mutluer S . Cerebral hydatid cysts in children. J Neurosci Nurs. 2000; 31(5):270-7. DOI: 10.1097/01376517-199910000-00003. View