Spinal cord compression due to a primary vertebral hydatid disease: A rare case report in metropolitan France and a literature review

Gennari, Antoine; Almairac, Fabien; Litrico, S.; Albert, Christine M.; Marty, Pierre; Paquis, Philippe

doi:10.1016/j.neuchi.2016.03.001

Cited by 13 publications

(7 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Weakness of the limbs and paraplegia are reported in 25% to 84% of cases (Charles et al, 1988), and paraplegia is the most serious complication of the disease. Most authors seem to highlight an important rate of paraparesis or paraplegia at presentation (61% to 73%) (Gennari et al, 2016), and the incidence of paraplegia in recurrent disease is also reported to be as high as 45% (Pamir et al, 2002). In our series, the presenting clinical symptoms at the time of admission to the hospital were paraparesis in seven cases (43.75%) and paraplegia in four cases (25%).…”

Section: Discussionmentioning

confidence: 46%

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: 46%

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

“…And the symptoms may present in different nerve roots or spinal cord compressions depending on the occurrence of different segments of the spine. According to the statistics, the different symptom of spinal cord compression rate of paraparesis at presentation (61–73%), associated or not with back pain (27.8–43%), bladder dysfunction (11.1–32%), sensory loss (24%), and radicular pain (27–60%) ( 18 ). In our case, the patient's spinal cord compression symptoms showed lower back pain and paraparesis.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Huge Dumbbell-Shaped Primary Hydatid Cyst Across the Intervertebral Foramen

Jiang

Shi

et al. 2020

Front. Neurol.

View full text Add to dashboard Cite

Primary hydatid cyst of the spinal canal is extremely rare. We reported a 42-year-old Kazakh man with right lower back pain and weakness in both lower limbs for 2 months, who lived in the pastoral area. Clinical examination revealed that the patient had no cysts on other organs and no previous medical history except for a huge cyst inside and next to the vertebrae. MRI examination revealed a huge dumbbell-shaped primary cyst across the intervertebral foramen. Pathological examination after operation confirmed a fine-grained hydatid cyst disease. Therefore, in the pastoral area, doctors should be alert to the occurrence of hydatid cyst disease if patients complained about progressive back pain and lower limb weakness or other spinal cord compression symptoms. Once hydatid cysts in other organs or systems were detected, the occurrence of the disease could be highly suspected. Complete resection is an effective treatment for hydatid cyst disease.

show abstract

“…6 According to Braithwaite and Less, the current cyst can be staged as a category 4: hydatid cyst of the vertebrae. 7 Only a few cases of intramedullary hydatid cysts have been reported to date, 4,[8][9][10][11][12] and one case of Echinococcus ortleppi in human vertebra was reported. 13 Rare cases of singular pleural hydatid cysts are described in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…The endemic region for E. granulosus infection is Turkey, where 22% of the cases worldwide are reported. 4 The clinical presentation in patients is subtle and nonspecific. The growth of the cysts resembles the metastatic spread of tumors.…”

mentioning

confidence: 99%

Of Cestodes and Men: Surgical Treatment of a Spinal Hydatid Cyst

Saul

Seitz

Weiser

et al. 2019

J Neurol Surg A Cent Eur Neurosurg

View full text Add to dashboard Cite

Background The cestode Echinococcus granulosus causes hydatid disease. In addition to manifestations in the liver and lung, it can lead to cystic lesions in the spine. Case Description We report a 42-year-old male patient with primary hydatid disease in the eighth thoracic vertebra. The only clinical symptom was chronic back pain. Although laboratory findings were normal, imaging displayed lytic destruction that raised the suspicion of a metastatic disease. Diagnostics of the thoraces and abdomen did not reveal other pathologic abnormalities. Follow-up magnetic resonance imaging (MRI) depicted a progressive compression of the spinal cord and inhomogeneous structure in the fat-suppressed sequences. Because the Jamshidi biopsy was inconclusive, the tumor board recommended surgery. Dorsal decompression, spondylodesis of T6–T10, and vertebral column resection of T8 with complete cyst removal were performed. The resected vertebrae showed a mucous-like lesion with white granular tissue interfusing the whole vertebral body. A pathologic examination and enzyme-linked immunosorbent assay confirmed E. granulosus. Thus chemotherapy with albendazole was initiated. A follow-up MRI of the whole spine confirmed complete remission and found no additional resettlements. The patient's back pain was resolved without neurologic deficits. Conclusions For lytic manifestations of the vertebral column, hydatid cysts should be considered a differential diagnosis in addition to malignant metastasis, tuberculosis, and osteomyelitis. Thorough surgical resection and strict follow-up are necessary.

show abstract

Spinal cord compression due to a primary vertebral hydatid disease: A rare case report in metropolitan France and a literature review

Cited by 13 publications

References 14 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

Case Report: Huge Dumbbell-Shaped Primary Hydatid Cyst Across the Intervertebral Foramen

Of Cestodes and Men: Surgical Treatment of a Spinal Hydatid Cyst

Contact Info

Product

Resources

About