Spinal Hydatid Cyst Disease

Gezercan, Yurdal; Ökten, Ali İhsan; Çavuş, Gökhan; Açık, Vedat; Bilgin, Emre

doi:10.1016/j.wneu.2017.09.015

Cited by 18 publications

(32 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, spinal hydatidosis cannot be fully equated with vertebral tumors. In hydatid disease of the vertebra, the parasites spread along the bony intratrabecular space, destroying the bone, but the intervertebral discs are usually preserved because the disease tends to propagate beneath the periosteum (Gezercan et al, 2017;Ozdemir et al, 2004). Braithwaite and Lees (1981) believed that hydatid cysts in the bone expand relatively slowly, and the remaining bone has smooth, well-defined margins.…”

Section: Discussionmentioning

confidence: 99%

“…Dexamethasone (10 mg) was injected during the operation to prevent allergic shock (Liang et al, 2014). The surgeon should attempt complete intralesional or marginal if not radical excision of the cyst and avoid spillage of the cyst contents (Khazim et al, 2003;Gezercan et al, 2017). Due care should be taken to avoid dural damage, because dural damage at the time of previous surgery has been suggested as the most plausible mechanism of spread (Jain et al, 2014;Hamdan, 2012).…”

Section: Discussionmentioning

confidence: 99%

“…The only curative treatment for osseous hydatidosis is surgery (Zlitni et al, 2001;Neumayr et al, 2013b). The treatment of spinal hydatidosis with different surgical options has been reported in the literature, including simple drainage or debridement, curettage and resection of the infected bone, and posterior or anterior decompression and stabilization (Khazim et al, 2003;Gezercan et al, 2017;Pamir et al, 2002). However, following the occurrence of bone hydatidosis, recurrence is still frequent (Zlitni et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Treatment experiences of thoracic spinal hydatidosis: a single-center case-series study

Liang

Xiang

et al. 2019

International Journal of Infectious Diseases

View full text Add to dashboard Cite

Spinal hydatid disease is rare and remains a serious health problem associated with high rates of recurrence. We report our experience in treating patients with thoracic spinal hydatidosis through a single-center case-series study. Methods: Sixteen patients with thoracic spinal hydatidosis were treated in our center between 1995 and 2017. A total en bloc spondylectomy (TES) was performed in three patients. Five patients were treated with posterior decompression and stabilization after removing the involved elements. The remaining patients underwent curettage and resection of the infected bone. The therapy was completed with medical treatment or radiotherapy. Results: Of the 16 patients, seven were men and nine were women; their mean age was 38.5 years (range 28-60 years). The infected area was the upper thoracic level in one patient, mid thoracic level in eight patients, and lower thoracic level in seven patients. Four patients had paraplegia and seven had paraparesis before surgery. At the last follow-up, five patients had successfully recovered from the neurological damage. During a mean follow-up of 4.75 years (range 2-12 years), eight patients had local recurrence; however, no patient who underwent TES had recurrence. Conclusions: An individualized surgical strategy should be decided carefully for each patient in the first intervention. In the early stages of the disease, TES should be considered as a treatment for suitable cases of primary thoracic spinal hydatidosis.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Treatment experiences of thoracic spinal hydatidosis: a single-center case-series study

Liang

Xiang

et al. 2019

International Journal of Infectious Diseases

View full text Add to dashboard Cite

show abstract

“…Ingestion of Echinococcus eggs 17 Long history of back pain, neurological deficits, spinal compression syndrome 28,45 Well-defined multiloculated osteolytic lesion; 59 T2WI showing cystic lesions w/ high signal intensity; hypointense lesions on T1WI 59 Neurological examination, neuroimaging, serological tests 17,28 Surgery w/ concomitant antiparasitic therapy (albendazole, mebendazole) 40 Toxoplasmosis…”

Section: E Granulosusmentioning

confidence: 99%

Parasitic infections of the spine: case series and review of the literature

Majmundar¹,

Patel²,

Dodson³

et al. 2019

Neurosurgical Focus

View full text Add to dashboard Cite

OBJECTIVEAlthough parasitic infections are endemic to parts of the developing world and are more common in areas with developing economies and poor sanitary conditions, rare cases may occur in developed regions of the world.METHODSArticles eligible for the authors’ literature review were initially searched using PubMed with the phrases “parasitic infections” and “spine.” After the authors developed a list of parasites associated with spinal cord infections from the initial search, they expanded it to include individual diagnoses, using search terms including “neurocysticercosis,” “schistosomiasis,” “echinococcosis,” and “toxoplasmosis.”RESULTSTwo recent cases of parasitic spinal infections from the authors’ institution are included.CONCLUSIONSKey findings on imaging modalities, laboratory studies suggestive of parasitic infection, and most importantly a thorough patient history are required to correctly diagnose parasitic spinal infections.

show abstract

“…Rupture of the cyst may result in dissemination and chronic recurrence [30]. There are several published studies about spinal hydatid cysts [15,26,32,34]. To our knowledge, this is the largest Turkish study in the English literature on this subject.…”

Section: Introductionmentioning

confidence: 99%

Spinal Hydatid Cyst Disease : Challenging Surgery - an Institutional Experience

Çağlar

Özgüral

Zaimoğlu

et al. 2019

J Korean Neurosurg Soc

View full text Add to dashboard Cite

ObjectiveHydatid cyst disease is caused by the parasite Echinococcus granulosus. It is rarely seen in the vertebral system, occurring at a rate of 0.2–1%. The aim of this study is to present 12 spinal hydatid cyst cases, and propose a new type of drainage of the cyst. MethodsTwelve cases of spinal hydatid cysts, surgical operations, multiple operations, chronic recurrences, and spinal hydatic cyst excision methods are discussed in the context of the literature. Patients are operated between 2005 and 2016. All the patients are kept under routine follow up. Patient demographic data and clinicopathologic characteristics are examined. ResultsSix male and six female patients with a median age of 38.6 at the time of surgery were included in the study. Spinal cyst hydatid infection sites were one odontoid, one cervical, five thoracic, two lumbar, and three sacral. In all cases, surgery was performed, with the aim of total excision of the cyst, decompression of the spinal cord, and if necessary, stabilization of the spinal column. Mean follow up was 61.3 months (10–156). All the patients were prescribed Albendazole. Three patients had secondary hydatid cyst infection (one lung and two hepatic). ConclusionThe two-way drainage catheter placed inside a cyst provides post-operative chlorhexidine washing inside the cavity. Although a spinal hydatid cyst is a benign pathology and seen rarely, it is extremely difficult to achieve a real cure for patients with this disease. Treatment modalities should be aggressive and include total excision of cyst without rupture, decompression of spinal cord, flushing of the area with scolicidal drugs, and ensuring spinal stabilization. After the operation the patients should be kept under routine follow up. Radiological and clinical examinations are useful in spotting a recurrence.

show abstract

Spinal Hydatid Cyst Disease

Cited by 18 publications

References 55 publications

Treatment experiences of thoracic spinal hydatidosis: a single-center case-series study

Treatment experiences of thoracic spinal hydatidosis: a single-center case-series study

Parasitic infections of the spine: case series and review of the literature

Spinal Hydatid Cyst Disease : Challenging Surgery - an Institutional Experience

Contact Info

Product

Resources

About