Central nervous system hydatidosis in Turkey: a cooperative study and literature survey analysis of 458 cases

Altınörs, Nur; Bavbek, Murad; Caner, Hakan; Erdoğan, Bülent

doi:10.3171/jns.2000.93.1.0001

Cited by 243 publications

(174 citation statements)

References 36 publications

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“…Preoperative diagnosis can be made using neuroimaging, but the bone involvement may not be evident on spinal radiographs. As stated by Altinörs et al [2], computerized tomography and magnetic resonance imaging (MRI) have increased diagnostic specificity during the last decade. The imaging tool of choice is MRI, because it allows early diagnosis of spinal cord compression and more accurate localization of intraspinal and paraspinal echinococcal infestation, if coronal and axial MR images in addition to sagittal ones are obtained.…”

Section: Imagingmentioning

confidence: 98%

Re: Vertebral hydatid cyst infection (Echinococcus granulosus): a case report

Turgut¹,

Turğut²

2002

Eur Spine J

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Section: Imagingmentioning

confidence: 98%

Re: Vertebral hydatid cyst infection (Echinococcus granulosus): a case report

Turgut¹,

Turğut²

2002

Eur Spine J

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“…Inside the vertebrae, the parasites spread along the intratrabecular space and medullary canal causing bony destruction [9]. A growth rate of approximately 7 mm per month has been reported [1,18]. Intervertebral discs are usually preserved, because the disease tends to spread under the periosteum and ligaments [2].…”

Section: Epidemiology Pathologymentioning

confidence: 99%

“…Surgical removal is the first and most effective option [1]. The total eradication of the cyst without rupture should be the primary goal of the surgery [2].…”

Section: Rationale For Treatment and Evidence-based Literaturementioning

confidence: 99%

“…There is no specific surgical technique to avoid this complication. Most cysts rupture during laminectomy, especially if they are located extradurally [1]. Various surgical interventions have been performed to treat hydatid disease of the spine, including anterior, posterior and combined procedures.…”

Section: Rationale For Treatment and Evidence-based Literaturementioning

confidence: 99%

“…Besides, a temporary minor elevation of the liver enzymes no long-term side effects of albendazole has been reported. Several studies recommended mean course duration of 3-4 months [1].…”

Section: Rationale For Treatment and Evidence-based Literaturementioning

confidence: 99%

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Severe kyphoscoliosis after primary Echinococcus granulosus infection of the spine

Thaler

Gabl²,

Lechner

et al. 2010

Eur Spine J

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A primary Echinococcus granulosus infection of the spine involving the vertebrae T8 and T9 of a 6-year-old child was treated elsewhere by thoracotomy, partial corporectomy, multiple laminectomies and uninstrumented fusion. Owing to inappropriate stabilization, severe deformity developed secondary to these surgeries. X-rays, CT and MRI scans of the spine revealed a severe thoracic kyphoscoliosis of more than 100° (Fig. 1) and recurrence of Echinococcus granulosus infection. The intraspinal cyst formation was located between the stretched dural sac and the vertebral bodies of the kyphotic apex causing significant compression of the cord (Figs. 2,3,4). A progressive neurologic deficit was reported by the patient. At the time of referral, the patient was wheelchair bound and unable to walk by herself (Frankel Grade C). Standard antiinfectious therapy of Echinococcus granulosus requires a minimum treatment period of 3 months. This should be done before any surgical intervention because in case of a rupture of an active cyst, the delivered lipoprotein antigens of the parasite may cause a potentially lethal anaphylactic shock. Owing to the critical neurological status, we decided to perform surgery without full length preoperative antiinfectious therapy. Surgical treatment consisted in posterior vertebral column resection technique with an extensive bilateral costotransversectomy over three levels, re-decompression with cyst excision around the apex and multilevel corporectomy of the apex of the deformity. Stabilisation and correction of the spinal deformity were done by insertion of a vertebral body replacement cage anteriorly and posterior shortening by compression and by a multisegmental pedicle screw construct. After the surgery, antihelminthic therapy was continued. The patients neurological deficits resolved quickly: 4 weeks after surgery, the patient had Frankel Grade D and was ambulatory without any assistance. After an 18-month follow-up, the patient is free of recurrence of infection and free of neurologically deficits (Frankel E). This case demonstrates that inappropriate treatment-partial resection of the cyst, inappropriate anterior stabilization and posterior multilevel laminectomies without posterior stabilization-may lead to severe progressive kyphoscoliotic deformity and recurrence of infection, both leading to significant neurological injury presenting as a very difficult to treat pathology.

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A clinician's view of spinal cord injury

Harkey

White²,

Tibbs³

et al. 2003

The Anatomical Record Part B

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The primary cause of spinal cord injury (SCI) is automobile collisions, followed by violence, falls, and injuries in sporting events. The patient is most frequently a young male. Regardless of cause and age, SCI is a potentially catastrophic injury. The unique anatomical relationship of the spinal cord, being enclosed in the dural sac within the bony vertebral column, make it venerable to a wide range of traumatic insults. SCI is classified as complete or incomplete with several subclasses arranged under each of these respective headings. The probability of recovery to a functional state is usually better for patients with incomplete injuries. Treatment for SCI involves initially immobilizing the injured vertebral column, medications to prevent secondary injury, and potential surgery to release pressure on the spinal cord and restore stability to the vertebral column. Postsurgical care is directed toward prevention and treatment of secondary complications of SCI such as respiratory failure, deep venous thrombosis, and decubitus ulcers. Advances in these areas are providing patients with a greater probability of recovery, a longer life, and a better quality of life. Research in the clinical and basic sciences is opening new avenues of hope for the spinal cord injury patient.

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Central nervous system hydatidosis in Turkey: a cooperative study and literature survey analysis of 458 cases

Abstract: Morbidity, mortality, and recurrence rates of hydatidosis uncovered by the cooperative study and the literature survey were not statistically significant.

Cited by 243 publications

References 36 publications

Re: Vertebral hydatid cyst infection (Echinococcus granulosus): a case report

Re: Vertebral hydatid cyst infection (Echinococcus granulosus): a case report

Severe kyphoscoliosis after primary Echinococcus granulosus infection of the spine

A clinician's view of spinal cord injury

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