Hydatidose costovertébrale pluriétagée: intérêt d'un abord combiné

Bahloul, K.; Abdennadher, M.; Rebai, R.; Frikha, Imed; Boudawara, Mohamed Zaher

doi:10.1016/j.neuchi.2006.11.001

Cited by 7 publications

(4 citation statements)

References 8 publications

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“…Due to the slow development of HC, recovery from neurological injuries is possible, provided that surgical resection is complete and early. 9,10,12,17 This was the case in our patients. Prolonged medical treatment with Albendazole is recommended perioperatively, in order to avoid relapses and whenever resection is not feasible or incomplete.…”

Section: Discussionsupporting

confidence: 63%

“…1 Main reported chief complaints are chest pain, parietal swelling or a pathological fracture. 1,5,[8][9][10] Half of our patients presented for back pain and parietal swelling was reported in 4 cases. Involvement of the spinal cord is announced by neurological signs such as: gait disturbances, spinal claudication or sphincter disorders.…”

Section: Discussionmentioning

confidence: 90%

“…Involvement of the spinal cord is announced by neurological signs such as: gait disturbances, spinal claudication or sphincter disorders. [8][9][10][11][12] The risk paraplegia or spinal cord compression has been estimated about 25 to 80% of patients with vertebral hydatid damage. 13 In our series, neurological signs were reported in 4 cases: paraplegia with sphincter disorders in 1 case, gait disturbance in 1 case and paraparesis in 2 cases.…”

Section: Discussionmentioning

confidence: 99%

“…20,21 However, a review of recently published papers has shown an improvement in prognosis. 3,4,10,12 A prolonged and regular follow-up, based on clinical examination, serology and CT-imaging is mandatory, in order to watch for the slightest recurrence. In our series, 4 patients had already been operated before and one patient presented a recurrence 8 years later.…”

Section: Discussionmentioning

confidence: 99%

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Management peculiarities of costovertebral hydatidosis

Zaïri¹,

Touil²,

Mestiri³

et al. 2022

Afr H. Sci.

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Background: Costovertebral hydatidosis is a rarely reported clinical and radiological entity, estimated at less than 1% of thoracic hydatid locations. Its management is still not codified. Objective: The aim of our study was to specify the management peculiarities of costovertebral hydatidosis. Methods: Between January 2000 and December 2018, 14 patients were managed for costovertebral hydatidosis in a thoracic surgery department. Results: The mean age of our patients was 48 years. The history of a prior hydatid disease was found in 7 patients. Imaging features were suggestive in 13 cases. They showed: involvement of the spinal canal (6 cases), of the soft tissues (5 cases) and spinal cord compression (3 cases). Costovertebral resection of the hydatid lesions was complete in 12 cases. Four patients presented postoperative complications. Conclusion: Costovertebral hydatid involvement, may threaten the functional and vital prognosis. Therefore, early diagnosis and management are mandatory, before the occurrence of irreversible neurological impairment. Surgical resection remains the treatment of choice and must be complete whenever possible. Relapse is frequent, hence the importance of a regular follow-up. Keywords: Costovertebral region; spinal cord compression; echinococcosis.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Management peculiarities of costovertebral hydatidosis

Zaïri¹,

Touil²,

Mestiri³

et al. 2022

Afr H. Sci.

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Management of a ruptured hydatid cyst involving the ribs: Dealing with a challenging case and review of the literature

Thomopoulos

Naiken

Rubbia‐Brandt

et al. 2012

International Journal of Surgery Case Reports

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Hydatid disease drug therapy primarily to reconstruction of a multilevel thoracolumbar vertebral lesion

Cogan

Ilharreborde

Lenoir

et al. 2011

Orthopaedics & Traumatology: Surgery & Research

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We report, a very unusual case of multilevel vertebral hydatidosis adjacent to the thoracolumbar junction, without concomitant chord compression. Two months after initiating oral antiparasite treatment, the patient underwent resection of the lesion using a posterior approach, medullary decompression, and a T11-L3 instrumented arthrodesis. Arthrodesis via the anterior approach was performed at a later stage. In addition to its diagnostic value, this case raises renewed discussion about single-level lesions given their rarity: their indication for preoperative medullary angiography, their indication for circumferential surgery, the timing of medical treatment, and the strategy to implement for the residual lesions.

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Hydatidose costovertébrale pluriétagée: intérêt d'un abord combiné

Cited by 7 publications

References 8 publications

Management peculiarities of costovertebral hydatidosis

Management peculiarities of costovertebral hydatidosis

Management of a ruptured hydatid cyst involving the ribs: Dealing with a challenging case and review of the literature

Hydatid disease drug therapy primarily to reconstruction of a multilevel thoracolumbar vertebral lesion

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