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    Assessment of cases with intracranial hydatid cyst: A 23-year experience
    (Ege University Press, 2014) Turan Y.; Yilmaz T.; Göçmez C.; Kamaşak K.; Kemaloğlu S.; Tekin R.; Hattapoğlu S.
    Objective: Brain is involved in 1-2% of hydatid cyst infections. A cranial location is rare. In this study, we aimed to assess clinical findings, radiological investigations, and treatment modalities of cases with intracranial hydatid cyst. Materials and Method: The present study included 26 patients operated for cerebral hydatid cyst disease between January 1990 and October 2012. Results: Seventeen patients were male and 9 were female. The mean age of the study population was 20.3 years (range 7-50 years). Headache and nausea were the most common clinical symptoms. The lesions were demonstrated by computed tomography (CT) and magnetic resonance imaging (MRI) as large, smooth, thin walled, spherical-shaped, cystic homogenous lesions with the same density as cerebro spinal fluid, which showed no edema or contrast uptake. Two patients were complicated or infected cysts with perifocal edema and contrast uptake. In 20 patients, the cysts were removed completely with Dowlings technique, by rectifying cysts without rupturing. Eleven patients with ruptured cysts during operation, recurrent or systemic hydatid cyst were treated medically. Conclusion: Medical therapy appears effective in hydatid cyst disease. Cerebral hydatid cysts should be excised totally without rupturing them. Preoperative imaging techniques are central to surgical planning. Intracranial hydatid cyst should be remembered when CT or MRI shows a cystic lesion, especially in countries where hydatid cyst is endemic.
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    Brain abcesses: Clinical analysis of twenty-five cases
    (Ege University Press, 2014) Yilmaz T.; Gül A.; Turan Y.; Aydin P.; Göçmez C.; Kamaşak K.; Hattapoğlu S.
    Objective: The aim of this study is to determine the clinical, radiological, and surgical characteristics of brain abscesses and to share our experience in their management. Method: Medical records of 25 patients with brain abscess were retrospectively reviewed. The clinical picture, radiological examinations, treatment methods, and patient outcomes were analysed. Results: Of 25 patients included in our study, 16 (64%) were male and 9 (36%) were female. The age range was 2 months to 60 years, with a mean age of 12 years. Fifteen patients had a predisposing condition. The main source of the abscess was extension of an ear or nose infection to brain (n=9; 36%). In 10 (40%) patients the source could not be shown. Eighteen (72%) patients had a solitary abscess while 7 (28%) had multiple abscesses. No proliferation was observed in bacteriological cultures in 13 (52%) patients. No recurrences were seen in patients undergoing abscess excision with craniotomy. Conclusion: A brain abscess is a surgical emergency. Abcess excision with cranitomy is an effective treatment method in brain abcess cases. The most important sources of brain abcess were neigboring ear and nose infections. Diagnosis and treatment of these infections can prevent formation of brain abcess.Early diagnosis and treatment of cases with brain abscess can save patients from life-threatening complications of this disease.