Disseminated intraspinal hydatid disease

Moharamzad, Yashar; Kharazi, Homayoun Hadizadeh; Shobeiri, Elham; Farzanegan, Gholamreza; Hashemi, Farhad B.; Namavari, Abed

doi:10.3171/spi/2008/8/5/490

Cited by 14 publications

(20 citation statements)

References 15 publications

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“…In the accidental human intermediate host, the liver and lungs have been predominantly concerned (90%) [10,11]. Bone affection is rare (0.5-4%); spine is involved in half of the cases [10]. Thoracic spine is most generally affected in 52%, followed by lumbar in 37%, sacral and cervical in 5.5% each one [12,13].…”

Section: Discussionmentioning

confidence: 99%

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Vertebro-Spinal Hydatidosis: Case Report

Belhaj¹,

Ns²,

Zahi³

et al. 2015

Journal of Case Reports and Studies

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Vertebro-Spinal Hydatidosis: Case Report

Belhaj¹,

Ns²,

Zahi³

et al. 2015

Journal of Case Reports and Studies

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“…It is common in countries with poor socio-sanitary conditions 1. Humans act as intermediate hosts and get infected either through contact with definitive host (dogs, wolves) or its feces or by ingesting the infected food 2. Due to its subtle presentation and absence of characteristic findings in plain radiographs, diagnosis is commonly missed.…”

Section: Introductionmentioning

confidence: 99%

Hydatid disease of spine: Multiple meticulous surgeries and a long term followup

Jain

Prasad

Rustagi

et al. 2014

IJOO

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We present a long term followup (13 years) of spinal hydatid disease with multiple recurrences and intradural dissemination of the disease at the last followup. Intradural extension of the disease in our case was supposedly through the dural rent which has not been reported in English literature. An early followup of the same case has been reported previously by the authors. A 53 year-old female came with progressive left leg pain and difficulty in walking since 2 months. On examination, she had grade four power of ankle and digit dorsiflexors (L4 and L5 myotomes) on the left side (Medical Research Council grade). There was no sensory loss, no myelopathy and sphincters were intact. Plain radiographs showed consolidation at D10-D11 (old operated levels) with stable anterior column and there were no implant related problems. Magnetic resonance imaging showed a cystic lesion at L3-L4, signal intensity same as of cerebrospinal fluid in T2 and T1, displacing the cauda equina roots. The proximal extent of the lesion could not be identified because of artifacts from previous stainless steel instrumentation. Computed tomography myelogram showed complete block at L3-L4 junction with “meniscus sign”. This is the longest followup of hydatid disease of the spine that has ever been reported. Hydatid disease should always be included in the differential diagnosis of destructive or infectious lesions of the spine. Aggressive radical resection whenever possible and chemotherapy is the key to good results. Recurrence is known to occur even after that. Disease can have long remission periods. Possibility of intradural dissemination through dural injury is highly likely. Hence, it should always be repaired whenever possible.

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“…The spine is an uncommon location for hydatid disease. Incidence of involvement of the spine constitutes 0.5–1% of all reported hydatid cases 2. Hydatid disease of vertebral bones is the most debilitating form of echinococcosis.…”

Section: Introductionmentioning

confidence: 99%

Secondary hydatidosis of the rib, posterior mediastinum and soft tissues

Sokouti¹

2010

Case Reports

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The spine is an uncommon location for hydatid disease; the incidence is 0.5–1% of all cases. Osteohydatidosis of the spine is usually silent unless a complication occurs. Ribs are rarely affected by this disease, either intraosseously or extraosseously. Diagnosis is generally made through the combined clinical, radiological and laboratory assessments. Living in rural areas is an important risk factor for this disease. The gold standard for treatment is radical excision of the spine and affected ribs, and chemotherapy with albendazol. Recurrence of disease is common and prognosis is often poor, especially if the spine is affected. We present a case of a 48-year-old woman with a history of hydatid cyst disease of the spine, whose disease recurred after 18 years, affecting the posterior mediastinum, rib and soft tissues of the right para spinal muscles.

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Disseminated intraspinal hydatid disease

Cited by 14 publications

References 15 publications

Vertebro-Spinal Hydatidosis: Case Report

Vertebro-Spinal Hydatidosis: Case Report

Hydatid disease of spine: Multiple meticulous surgeries and a long term followup

Secondary hydatidosis of the rib, posterior mediastinum and soft tissues

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