Spinal hydatid disease

Pamir, M. Necmettin; Özduman, Koray; Elmacı, İlhan

doi:10.1038/sj.sc.3101214

Cited by 98 publications

(152 citation statements)

References 34 publications

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“…Unfortunately, the results of surgical treatment are not gratifying, as apparent radical removal is usually followed by recurrence or progression of the illness, as occurred in our patient. Intradural disease is also associated with intense arachnoiditis, which difficults surgical resection of the cysts and increases the risk of neurological deterioration as well as of spreading of the disease through the subarachnoid space, a fact that might have occurred in our patient 11,15 . To prevent recurrence or spreading of the disease, irrigation with hypertonic saline or a diluted Betadine solution after removal of the cysts has been proposed; other authors have used 10% formalin solution to irrigate the surgical field, but the dura should not be opened [18][19][20][21] .…”

Section: Discussionmentioning

confidence: 91%

Intradural extramedullary spinal hydatidosis: case report

Kaen¹,

Lagares²,

Pérez-Núñez³

et al. 2009

Neurocirugía

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SummaryThe parasitic tapeworm Echinococcus granulosis causes hydatid disease, which is rarely encountered in nonendemic regions. It is a progressive disease with serious morbidity risks. Rarely, these cysts are found in the spine. They are mainly found epidurally, originating from direct extension from pulmonary, abdominal or pelvic infestation. Nevertheless, the main mechanism for intradural involvement is not yet clear. Antihelminthic treatment should be administered for a long period following early decompressive surgery. We report a case of recurrent hydatid disease that presented unusual intradural dissemination. Prognosis for spinal hydatid disease remains very poor and comparable to that of a malignant neoplasm.KEY WORDS: Hydatid cysts. Intradural. Spine. Echinococcus. Hidatidosis espinal intradural extramedular: presentación de un caso ResumenEl Equinococcus granulosis es el parásito causante de la hidatidosis, que se encuentra de forma muy poco frecuente en regiones no endémicas. Es una enfermedad quística progresiva con riesgo de causar morbilidad importante, afectando principalmente al hígado y al pulmón. Muy raramente se encuentran quistes a nivel espinal. La hidatidosis espinal afecta sobre todo al espacio epidural por extensión directa de infección existente a nivel pulmonar, abdominal o pélvico. No obstante, el mecanismo para la afectación intradural todavía no está aclarado. El tratamiento antihelmíntico ha de ser administrado durante largo tiempo tras la cirugía descompresiva. Presentamos el caso de una hidatidosis espinal recurrente que presentó una diseminación intradural inusual. El pronóstico de la hidatidosis espinal continúa siendo muy pobre, comparable al de una enfermedad neoplásica maligna.

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Section: Discussionmentioning

confidence: 91%

Intradural extramedullary spinal hydatidosis: case report

Kaen¹,

Lagares²,

Pérez-Núñez³

et al. 2009

Neurocirugía

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“…Hydatid disease (HD), a rare parasitic infection caused mainly by the larval form of Taenia Echinococcus granulosus, and less commonly by Echinococcus multilocularis, the latter primarily causing alveolar Echinococcus [6].…”

Section: Discussionmentioning

confidence: 99%

“…Hydatid disease is caused by the parasitic tapeworm Echinococcus (E. granulosus, and less commonly E. multilocularis) [6]. The infection with this parasite is endemic to sheep-raising areas of the world.…”

Section: Introductionmentioning

confidence: 99%

Intradural extramedullary primary hydatid cyst of the spine in a child: a very rare presentation

Arif

Zaheer

2008

Eur Spine J

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Spinal hydatid cyst is a serious but fortunately uncommon manifestation of the parasite Echinococcus, involving less than 1% patients with hydatid disease. Intradural hydatid cysts are extremely rare compared to other types of spinal hydatid cysts. We report a rare case of intradural, extramedullary spinal hydatid cyst in a 9-yearold male boy, who presented with weakness of both lower limbs for the last 4 months that was confirmed histopathologically; a better understanding of this rare but clinically challenging disease is intended by reporting this case.

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“…4,6 Ani mals are ma in cul prits in the spre ad It is a disease caused by the larval Echinococcus granulosus tapeworm and is seen in regions where parasitic infestations are endemic. Spinal hydatid disease is an infestation characterized by multivesicular diffuse infiltration of the cancellous bone, including corpus vertebrae, pedicles, and the lamina.…”

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confidence: 99%

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confidence: 99%

Spinal Hydatid Cyst: Review

Çelik¹,

Şaşmaz²,

Uçan³

2010

Turkiye Klinikleri J Med Sci

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yda tid cyst in fec ti on is one of the ol dest di se a ses known in the history of hu ma nity.1 Hyda tid cyst is a di se a se ca u sed by the lar val Echi no coc cus gra nu lo sus ta pe worm [2][3][4][5] and is se en in re gi ons whe re pa ra si tic in fes ta ti ons are en de mic. 4,6 Ani mals are ma in cul prits in the spre ad It is a disease caused by the larval Echinococcus granulosus tapeworm and is seen in regions where parasitic infestations are endemic. Spinal hydatid disease is an infestation characterized by multivesicular diffuse infiltration of the cancellous bone, including corpus vertebrae, pedicles, and the lamina. This is a rare condition leading to severe neurological problems. In the spinal area, the most commonly involved part is the thoracic region. Diagnosis is difficult and frequently delayed until signs and symptoms of spinal cord and nerve compression develop. There are no characteristic signs and symptoms. Most common signs are low back pain, radicular pain, paraparesis or paraplegia, sensation disorders, and bladder/intestine dysfunction. Magnetic resonance imaging (MRI) is the most sensitive diagnostic method. In the treatment of spinal hydatid cyst, surgery is still accepted as the "gold standard". Antihelmintic agents and benzimidazole derivatives can also be combined with surgical treatment, particularly for preventing recurrences. After review of the related literature, it is emphasized that physicians should be careful in the differential diagnosis of patients applying with spinal pain, radicular pain, progressive myelopathy or spinal cord compression syndrome. Because of high mortality and morbidity; importance of early diagnosis and treatment is highlighted along with emphasizing eradication of disease.

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Spinal hydatid disease

Cited by 98 publications

References 34 publications

Intradural extramedullary spinal hydatidosis: case report

Intradural extramedullary spinal hydatidosis: case report

Intradural extramedullary primary hydatid cyst of the spine in a child: a very rare presentation

Spinal Hydatid Cyst: Review

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