Kist Hidatik: Medikal ve Cerrahi Tedavi
Özet
Kist hidatik, genellikle Echinococcus parazit larvalarının neden olduğu ve başta karaciğer ile akciğer olmak üzere vücudun çeşitli organlarına yerleşebilen parazitik bir hastalıktır. Merkezi sinir sistemi ve omurga tutulumu nadir görülse de, kistlerin yerleşim yerine göre ciddi nörolojik semptomlara yol açabilen klinik tablolara neden olabilir. Tedavide temel yaklaşım, anafilaktik reaksiyon riskini önlemek amacıyla kistin rüptüre edilmeden cerrahi yöntemle tamamen çıkarılmasıdır. Cerrahi işleme ek olarak, nüksleri azaltmak ve tedavi başarısını artırmak için albendazol gibi medikal destekleyici tedaviler sıklıkla uygulanmaktadır.
Hydatid cyst is a parasitic disease typically caused by Echinococcus larvae, which can affect various organs, most commonly the liver and lungs. Although rare, cerebral and spinal involvement can occur, leading to significant neurological symptoms depending on the location of the cysts. The primary treatment method is surgical excision, which must be performed carefully to avoid cyst rupture and associated anaphylactic reactions. Medical therapies, particularly albendazole, are frequently utilized as adjuncts to surgery to prevent recurrence and manage the disease effectively.
Referanslar
Ciurea A, Fountas K, Coman T, Machinis T, Kapsalaki E, Fezoulidis N, et al. Long-term surgical outcome in patients with intracranial hydatid cyst. Acta neurochirurgica. 2006;148(4):421-6.
Bükte Y, Kemaloglu S, Nazaroglu H, Özkan Ü, Ceviz A, Simsek M. Cerebral hydatid disease: CT and MR imaging findings. Swiss medical weekly. 2004;134(3132).
Tappe D, Stich A, Frosch M. Emergence of polycystic neotropical echinococcosis. Emerging infectious diseases. 2008;14(2):292.
Kadıoğlu HH, Şengül G, Çalıkoğlu Ç , et. al Nöroşirurji ders kitabı. 1 ed. Kadıoğlu HH, editor: Atatürk Üniversitesi Yayınevi; 2020 2020. 243-6 p.
Altinörs N, Bavbek M, Caner HH, Erdoğan B. Central nervous system hydatidosis in Turkey: a cooperative study and literature survey analysis of 458 cases. Journal of neurosurgery. 2000;93(1):1-8.
Turgut M. Intracranial hydatidosis in Turkey: its clinical presentation, diagnostic studies, surgical management, and outcome. A review of 276 cases. Neurosurgical review. 2001;24(4):200-8.
Özkan Ü, Kemaloğlu M, Selcuki M. Gigantic intracranial mass of hydatid cyst. Child's nervous system. 2001;17(10):623-5.
Karabağlı H. Pediatrik Nöroşirurji. M.Kemali Baykaner YE, M.Saffet Mutluer, M.Memet Özek, editor: türk nöroşirurji derneği yayınları no :15; 2014 2014. 658-9 p.
Angın T, Çelebisoy M, Karatepe AN, Gelal MF, Şirin HK. Serebral Kist Hidatik: Olgu Sunumu. Turkish Journal of Neurology/Turk Noroloji Dergisi. 2014;20(3).
Çavuşoğlu H, Tuncer C, Özdilmaç A, Aydin Y. Multiple intracranial hydatid cysts in a boy. Turkish neurosurgery. 2009;19(2):203-7.
Kalaitzoglou I, Drevelengas A, Petridis A, Palladas P. Albendazole treatment of cerebral hydatid disease: evaluation of results with CT and MRI. Neuroradiology. 1998;40(1):36-9.
Altas M, Aras M, Serarslan Y, Davran R, Evirgen O, Yilmaz N. A medically treated multiple cerebral hydatid cyst disease. Journal of neurosurgical sciences. 2010;54(2):79-82.
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.
Todorov T, Vutova K, Petkov D, Balkanski G. Albendazole treatment of multiple cerebral hydatid cysts: case report. Transactions of the Royal Society of Tropical Medicine and Hygiene. 1988;82(1):150-2.
Boop F, Jacobs R, Young R. Brain abscess and encephalitis in children. Principles and Practice of pediatric Neurosurgery New York: Thieme. 1999:1203-26.
Yüceer N, Güven MB, Yilmaz H. Multiple hydatid cysts of the brain: a case report and review of the literature. Neurosurgical review. 1998;21(2):181-4.
Charles R, Govender S, Naidoo K. Echinococcal infection of the spine with neural involvement. Spine. 1988;13(1):47-9.
Iplikçioğlu C, Kökes F, Bayar A, Doğanay S, Buharali Z. Spinal invasion of pulmonary hydatidosis: computed tomographic demonstration. Neurosurgery. 1991;29(3):467-8.
Hakan Hadi Kadıoğlu SE. Ekinokokkoz (Hidatik hastalık) In: Hakan Hadi Kadıoğlu SE, editor. Merkezi Sinir Sisteminin Enfeksiyöz Hastalıkları: Aktif Yayınevi; 2002. p. 100-8.
Sapkas GS, Stathakopoulos DP, Babis GC, Tsarouchas JK. Hydatid disease of bones and joints: 8 cases followed for 4-16 years. Acta Orthopaedica Scandinavica. 1998;69(1):89-94.
Bayram KB, Avcı S, Koçyiğit H, Gelal F, Gürgan A. Spinal kist hidatik: Bir olgu sunumu. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2005;51(4):146-9.
Yegen C, Ozer A, Aktan A, Yalin R. Sacrococcygeal hydatid cyst: another entity in the differential diagnosis of sacrococcygeal chordoma. Case report. Spinal Cord. 1993;31(7):479-81.
Philip R.Fischer MMC, A.Clinton White Jr. Echinococcosis( Echinococcus granulosus and Echinococcus multilocularis). In: Robert M. Kliegman BFS, Joseph W. St Geme ,Nina F. Schor editor. Nelson Textbook of Pediatrics. edition 20: elsevier; 2016. p. 1753-5.
Lam K, Faraj A, Mulholland R, Finch R. Medical decompression of vertebral hydatidosis. Spine. 1997;22(17):2050-5.
Baykaner MK, Doğulu F, Öztürk G, Edali N, Tali T. A viable residual spinal hydatid cyst cured with albendazole: case report. Journal of Neurosurgery: Spine. 2000;93(1):142-4.
