Nadir Görülen Serebral Kist Hidatik Olgularında Anestezi Yönetimi
Yıl 2025,
Cilt: 12 Sayı: 3, 449 - 453, 29.09.2025
İrem Ece Sönmez
,
Gönül Tezcan Keleş
Öz
Kist hidatik ekinokokkus larvalarınının sebep olduğu paraziter bir hastalıktır. Sinir sistemi tutulumu nadirdir. Klinik bulgu kistin yerleşimine bağlı olarak değişmektedir. Öykü, klinik bulgular ve görüntüleme yöntemleri (bilgisayarlı tomografi, Manyetik Rezonans Görüntüleme) ile tanı konulabilmektedir. Tedavide temel yaklaşım cerrahidir. Cerrahide amaç kistin rüptüre olmadan çıkarılmasıdır. Kist rüptürüne bağlı anaflaksi görülebilir. Bu yazıda serebral kist hidatik cerrahisinde anestezi yönetimi ve olası bir anaflaksi durumunda tedavi protokolünü sunmayı amaçladık.
Kaynakça
-
1. Petrone L, Cuzzi G, Colace L, Ettorre GM, Busi-Rizzi E, Schininà V, vd. Cystic echinococcosis in a single tertiary care center. Biomed Research International. 2013; Rome, Italy: yazarı bilinmiyor.
-
2. Kilic O, Camcioglu Y, Akcakaya N, Cokugras H, Ataseven F, Dashti R, vd. A rare case of primary cerebral hydatid cyst. Journal of Pediatric Infection. 2010; 3(4):117-120.
-
3. Cataltepe O, Colak A, Ozcan OE, Ozgen T, Erbengi A. Intracranial hydatid cysts: Experience with surgical treatment in 120 patients. Neurochirurgia. 1992; 35:108-111.
-
4. Ersahin Y, Mutluer S, Güzelbag E. Intracranial hydatid cyst in children. Neurosurgery. 1993; 33:219-224.
-
5. Özveren F, Yılmaz N, Güner A, Özercan İ. Rüptüre Serebral Kist Hidatik Olgusunda Proflaktik Albendazol Kullanımı. Klimik Dergisi. 1997; 10(3):141-143.
-
6. Kekeç Z. Güncel Acil Tıp Çalışmaları III. Akademisyen Kitabevi; 2022.
-
7. Barlas ÜK, Akçay N, Petmezci MT, Özçelik G, Kıhtır HS, Üstel SF, vd. Hidatik Kist Rüptürüne Bağlı Anafilaksi Olgusu. Çocuk Acil ve Yoğun Bakım Dergisi. 2020; 7(3):128-131.
-
8. Ozkan U, Kemaloglu MS, Selçuki M. Gigantic intracranial mass of hydatid cyst. Childs Nerv Syst. 2001; 17(10):623-625.
-
9. Kocaman S, Ersabin Y, Mutluer S. Cerebral hydatid cysts in children. Journal of Neuroscience Nursing. 1999; 31(5):270.
-
10. Turgut M. Intracranial hydatidosis in Turkey: its clinical presentation, diagnostic studies, surgical management, and outcome. A review of 276 cases. Neurosurgical Review. 2001; 24:200-208.
-
11. Ciurea AV, Fountas KN, Coman TC, Machinis TG, Kapsalaki EZ, Fezoulidis NI, vd. Long-term surgical outcome in patients with intracranial hydatid cyst. Acta Neurochirurgica. 2006; 148:421-426.
-
12. Çavuşoğlu H, Tuncer C, Özdilmaç A, Aydin Y. Multiple intracranial hydatid cysts in a boy. Turkish Neurosurgery. 2009; 19(2).
-
13. Yüceer N, Güven MB, Yilmaz H. Multiple hydatid cysts of the brain: a case report and review of the literature. Neurosurgical Review. 1998; 21:181-184.
-
14. TİTCK Onaylı KÜB HELMADOL Bilgisi.
-
15. Sanei B, Hashemi SM, Mahmoudieh M. Anaphylactic Shock Caused by Nonruptured Hydatid Cyst of the Liver. J Gastrointest Surg. 2008; 2243-2245.
-
16. Working Group of Resuscitation Council UK. Emergency Treatment of Anaphylaxis. 2021. [Erişim adresi: https://www.resus.org.uk/sites/default/files/2021-
05/Emergency%20Treatment%20of%20Anaphylaxis%20May%202021_0.pdf]. Erişim Tarihi: May 2021.
17. Kaya O, Erdoğan Kayhan G, Onay M, Kılıç Y. Kist Hidatik Cerrahisinde Dirençli Anafilaktik Şok Gelişen Olgunun
Yönetimi. Turkish Journal of Resuscitation. 2022; 1(3):148-153.
-
18. Broigaard M, Garvey LH, Gillberg L, Johansson SGO, Mosbech H, Florvaag E, vd. Scandinavian Clinical Practice Guidelines on the diagnosis, management and follow-up of anaphylaxis during anaesthesia. Acta Anaesthesiologica Scandinavica. 2007; 51(6):655-670.
19. Shaker MS, Wallace DV, Golden DBK, et al. Anaphylaxis-a 2020 practice parameter update, systematic review, and Grading of Recommendations, Assessment, Development and Evaluation (GRADE) analysis. J Allergy Clin Immunol. 2020; 145(4):1082-1123.
-
20. Lott C, Truhlár A, Alfonzo A, Barelli A, González-Salvado V, Hinkelbein J, vd. European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances. Resuscitation. 2021; 161:152-219.
-
21. Garvey LH, Dewachter P, Hepner DL, Mertes PM, Voltolini S, Clarke R, vd. Management of suspected immediate perioperative allergic reactions: an international overview and consensus recommendations. Br J Anaesth. 2019; 123(1):50-64.
-
22. Harper NJN, Cook TM, Garcez T, Lucas DN, Thomas M, Kemp H, vd. Anaesthesia, surgery, and life-threatening allergic reactions: Management and outcomes in the 6th National Audit Project (NAP6). Br J Anaesth. 2018; 121(1):172-188.
Anesthesia Management in Rare Cerebral Hydatid Cyst Cases
Yıl 2025,
Cilt: 12 Sayı: 3, 449 - 453, 29.09.2025
İrem Ece Sönmez
,
Gönül Tezcan Keleş
Öz
Hydatid cyst is a parasitic disease caused by larvae of Echinococcus. Central nervous system involvement is rare in patients with hydatid cyst. Clinical symptoms of central nervous system depends on the location of the lesion. Diagnosis can be made by history, clinical findings and imaging methods (computed tomography, Magnetic Resonance Imaging). Surgery is the primary treatment modality. The aim of surgery is to remove the cyst without rupture. Anaphylaxis may occur due to cyst rupture. In this article, we aimed to present the anesthesia management in cerebral hydatid surgery and the treatment protocol in case of possible anaphylaxis.
Kaynakça
-
1. Petrone L, Cuzzi G, Colace L, Ettorre GM, Busi-Rizzi E, Schininà V, vd. Cystic echinococcosis in a single tertiary care center. Biomed Research International. 2013; Rome, Italy: yazarı bilinmiyor.
-
2. Kilic O, Camcioglu Y, Akcakaya N, Cokugras H, Ataseven F, Dashti R, vd. A rare case of primary cerebral hydatid cyst. Journal of Pediatric Infection. 2010; 3(4):117-120.
-
3. Cataltepe O, Colak A, Ozcan OE, Ozgen T, Erbengi A. Intracranial hydatid cysts: Experience with surgical treatment in 120 patients. Neurochirurgia. 1992; 35:108-111.
-
4. Ersahin Y, Mutluer S, Güzelbag E. Intracranial hydatid cyst in children. Neurosurgery. 1993; 33:219-224.
-
5. Özveren F, Yılmaz N, Güner A, Özercan İ. Rüptüre Serebral Kist Hidatik Olgusunda Proflaktik Albendazol Kullanımı. Klimik Dergisi. 1997; 10(3):141-143.
-
6. Kekeç Z. Güncel Acil Tıp Çalışmaları III. Akademisyen Kitabevi; 2022.
-
7. Barlas ÜK, Akçay N, Petmezci MT, Özçelik G, Kıhtır HS, Üstel SF, vd. Hidatik Kist Rüptürüne Bağlı Anafilaksi Olgusu. Çocuk Acil ve Yoğun Bakım Dergisi. 2020; 7(3):128-131.
-
8. Ozkan U, Kemaloglu MS, Selçuki M. Gigantic intracranial mass of hydatid cyst. Childs Nerv Syst. 2001; 17(10):623-625.
-
9. Kocaman S, Ersabin Y, Mutluer S. Cerebral hydatid cysts in children. Journal of Neuroscience Nursing. 1999; 31(5):270.
-
10. Turgut M. Intracranial hydatidosis in Turkey: its clinical presentation, diagnostic studies, surgical management, and outcome. A review of 276 cases. Neurosurgical Review. 2001; 24:200-208.
-
11. Ciurea AV, Fountas KN, Coman TC, Machinis TG, Kapsalaki EZ, Fezoulidis NI, vd. Long-term surgical outcome in patients with intracranial hydatid cyst. Acta Neurochirurgica. 2006; 148:421-426.
-
12. Çavuşoğlu H, Tuncer C, Özdilmaç A, Aydin Y. Multiple intracranial hydatid cysts in a boy. Turkish Neurosurgery. 2009; 19(2).
-
13. Yüceer N, Güven MB, Yilmaz H. Multiple hydatid cysts of the brain: a case report and review of the literature. Neurosurgical Review. 1998; 21:181-184.
-
14. TİTCK Onaylı KÜB HELMADOL Bilgisi.
-
15. Sanei B, Hashemi SM, Mahmoudieh M. Anaphylactic Shock Caused by Nonruptured Hydatid Cyst of the Liver. J Gastrointest Surg. 2008; 2243-2245.
-
16. Working Group of Resuscitation Council UK. Emergency Treatment of Anaphylaxis. 2021. [Erişim adresi: https://www.resus.org.uk/sites/default/files/2021-
05/Emergency%20Treatment%20of%20Anaphylaxis%20May%202021_0.pdf]. Erişim Tarihi: May 2021.
17. Kaya O, Erdoğan Kayhan G, Onay M, Kılıç Y. Kist Hidatik Cerrahisinde Dirençli Anafilaktik Şok Gelişen Olgunun
Yönetimi. Turkish Journal of Resuscitation. 2022; 1(3):148-153.
-
18. Broigaard M, Garvey LH, Gillberg L, Johansson SGO, Mosbech H, Florvaag E, vd. Scandinavian Clinical Practice Guidelines on the diagnosis, management and follow-up of anaphylaxis during anaesthesia. Acta Anaesthesiologica Scandinavica. 2007; 51(6):655-670.
19. Shaker MS, Wallace DV, Golden DBK, et al. Anaphylaxis-a 2020 practice parameter update, systematic review, and Grading of Recommendations, Assessment, Development and Evaluation (GRADE) analysis. J Allergy Clin Immunol. 2020; 145(4):1082-1123.
-
20. Lott C, Truhlár A, Alfonzo A, Barelli A, González-Salvado V, Hinkelbein J, vd. European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances. Resuscitation. 2021; 161:152-219.
-
21. Garvey LH, Dewachter P, Hepner DL, Mertes PM, Voltolini S, Clarke R, vd. Management of suspected immediate perioperative allergic reactions: an international overview and consensus recommendations. Br J Anaesth. 2019; 123(1):50-64.
-
22. Harper NJN, Cook TM, Garcez T, Lucas DN, Thomas M, Kemp H, vd. Anaesthesia, surgery, and life-threatening allergic reactions: Management and outcomes in the 6th National Audit Project (NAP6). Br J Anaesth. 2018; 121(1):172-188.