Spinal Hydatid Disease and its Neurological Complications

Author: Fares Youssef   Khazim Rabi   El Zaatari Mohamed M.   Haddad George F.   Barnes P. Ruiz  

Publisher: Informa Healthcare

ISSN: 0036-5548

Source: Scandinavian Journal of Infectious Diseases, Vol.35, Iss.6-7, 2003-08, pp. : 394-396

Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.

Previous Menu Next

Abstract

Bone infection is estimated to represent 0.5-2.5% of cases of hydatid disease. Of these cases, the spine is affected in about 50%. 11 cases of histologically confirmed spinal hydatid disease treated surgically in 2 institutions in Spain and Lebanon were followed up clinically and radiologically for an average of 20 y (1-34 y). On presentation, all patients had severe neurological deficits. All patients underwent posterior spinal decompression, curettage, drainage and washout of paravertebral cyst cavities. Over the period of follow-up, patients underwent an average 4.8 spinal surgical procedures. Neurologically, all patients had partial or complete spinal cord lesions. All patients had recurrences and 18% died as a consequence of the disease. Extravertebral dissemination occurred in 82% of the cases, most commonly to the liver.