BACKGROUND: Over the past 10 years, 4 cases of spinal hydatid disease (3 men, 1 woman) were diagnosed and treated at our institution, with an average follow-up of 4 years. Hydatid disease of the spine is a rare condition with a poor prognosis that presents diagnostic and therapeutic challenges. METHODS: The patients were evaluated clinically, using the latest imaging modalities available in our institution. Decompressive surgeries were performed and the diagnosis was confirmed by histopathologic examination. All patients received long-term antihelminthic therapy with 400 mg of albendazole 3 times daily for 1 year. RESULTS: After surgery, all patients improved; however, over time, recurrence and residual disease were observed. Two patients had complete neurologic recovery at follow-up at 2 to 3 years, although there were radiographic signs of recurrence. The other 2 patients did not achieve complete neurologic recovery despite anterior decompression; they developed recurrent disease and the neurologic status deteriorated to spastic paraplegia. All patients refused further surgeries for recurrences and 2 patients died of complications of paraplegia. CONCLUSION: Diagnosis was challenging, eradication was difficult, and hydatid disease recurred in all 4 patients. In our experience, morbidity and mortality were high and prognosis was poor.
BACKGROUND: Over the past 10 years, 4 cases of spinal hydatid disease (3 men, 1 woman) were diagnosed and treated at our institution, with an average follow-up of 4 years. Hydatid disease of the spine is a rare condition with a poor prognosis that presents diagnostic and therapeutic challenges. METHODS: The patients were evaluated clinically, using the latest imaging modalities available in our institution. Decompressive surgeries were performed and the diagnosis was confirmed by histopathologic examination. All patients received long-term antihelminthic therapy with 400 mg of albendazole 3 times daily for 1 year. RESULTS: After surgery, all patients improved; however, over time, recurrence and residual disease were observed. Two patients had complete neurologic recovery at follow-up at 2 to 3 years, although there were radiographic signs of recurrence. The other 2 patients did not achieve complete neurologic recovery despite anterior decompression; they developed recurrent disease and the neurologic status deteriorated to spastic paraplegia. All patients refused further surgeries for recurrences and 2 patients died of complications of paraplegia. CONCLUSION: Diagnosis was challenging, eradication was difficult, and hydatid disease recurred in all 4 patients. In our experience, morbidity and mortality were high and prognosis was poor.
Authors: M A Ismail; M A Al-Dabagh; T A Al-Janabi; M I Al-Moslih; M S Al-Ani; S Rassam; A H Fawzi; M A Shafik; A Y Al-Rawas Journal: Clin Radiol Date: 1980-05 Impact factor: 2.350
Authors: Letizia Cattaneo; Tommaso Manciulli; Carmen-Michaela Cretu; Maria Teresa Giordani; Andrea Angheben; Alessandro Bartoloni; Lorenzo Zammarchi; Filippo Bartalesi; Joachim Richter; Peter Chiodini; Gauri Godbole; Thomas Junghanss; Marija Stojkovic; Luigi Sammarchi; Roberto Dore; Alessandro Vercelli; Francesco Benazzo; Fabrizio Cuzzocrea; Francesca Tamarozzi; Enrico Brunetti Journal: Am J Trop Med Hyg Date: 2019-03 Impact factor: 2.345
Authors: José A Pérez-Molina; Marta Díaz-Menéndez; José I Gallego; Francesca Norman; Begoña Monge-Maillo; Ana Pérez Ayala; Rogelio López-Vélez Journal: Am J Trop Med Hyg Date: 2011-02 Impact factor: 2.345
Authors: Halil Ibrahim Secer; Ihsan Anik; Ertugrul Celik; Mehmet Kadri Daneyemez; Engin Gonul Journal: J Spinal Cord Med Date: 2008 Impact factor: 1.985