Vertebral hydatid disease

Abstract

The authors present 27 cases of vertebral hydatidosis with clinical and laboratory findings. The most frequent location of the lesion was the lumbar spine. Principal neurological symptoms were paraparesis, sphincter disturbances, paresthesia and paraplegia. The average number of surgical interventions per patient was 2.6; the most common procedure was laminectomy with extirpation of the cyst and surgical toilet. The results of surgical treatment were generally good in the immediate postoperative period, but long-term results were poor.

Spinal intradural hydatid cyst in a child

“…Involvement of the vertebral column occurs in about one-half of the osseous cases because of porto-vertebral shunting (Rayport et al, 1964;Apt et al, 1976). Spinal hydatid disease may present with paraplegia or nerve root compression.…”

Spinal Cystic Echinococcosis – A Systematic Analysis and Review of the Literature: Part 1. Epidemiology and Anatomy

“…The course of symptomatic disease might range from acute onset to prolonged clinical courses where the diagnosis is often only made many years or even decades after the first appearance of symptoms [40]–[42]. Lacking characteristic signs and symptoms, spinal CE may manifest with any symptom linked to vertebral bone destruction or spinal cord compression, but a long history of back pain and/or subacute symptoms related to spinal cord or spinal nerve compression (radicular pain, peripheral sensitivity loss, sphincter disturbance, bladder dysfunction, paraparesis, paraplegia) are the most frequent [1], [9],[13],[19],[43],[44].…”

Spinal Hydatid Disease and its Neurological Complications

“…Involvement of the thoracic spine is reported as being most common, followed by the lumbar and cervical regions (5,6). However, in this series involvement of the lumbar spine was more common than the thoracic spine.…”

“…Most patients having such treatment have had several operations for recurrence (5,8,10,11,13). The recurrence CT, computed tomography; MRI, magnetic resonance imaging; WBC, white blood cell count; ESR, erythrocyte sedimentation rate.…”

“…Bone infection is estimated to represent 0.5 Á/2.5% of cases of hydatid disease. Of these cases, the spine is affected in about 50% (4,5). The presentation, diagnosis, management and long-term outcome of 11 cases of spinal hydatid disease seen at 2 institutions in Spain and Lebanon are presented.…”