Bahloul K, Ghorbel M, Boudouara M Z, Ben Mansour H
Department of Neurosurgery, CHU Habib Bourguiba, Tunisia.
Br J Neurosurg. 2006 Oct;20(5):320-3. doi: 10.1080/02688690601000485.
Primary vertebral echinococcosis has been considered to be a hypothetical and exceptional possibility. It affects bones in 1% of reported cases. Spine is involved in 45-50% of these. The disease preferentially affects the thoracic spine. It begins as a single primary cyst containing daughter cysts. We report four cases of primary vertebral echinococcosis, extending into the extradural space without any other primary site of infection. We conclude that primary vertebral echinococcosis, although rare should be considered in destructive lesions of the vertebrae and spine in regions that the disease is endemic. Advanced imaging studies should be performed to diagnose the disease. Early decompressive surgery of the spine, with chemotherapy, is the treatment of choice for these patients.
原发性脊椎包虫病一直被认为是一种假设性的特殊情况。在报告的病例中，1%的病例会累及骨骼。其中45% - 50%累及脊柱。该疾病优先累及胸椎。它起始为一个含有子囊的单个原发性囊肿。我们报告了4例原发性脊椎包虫病病例，病变延伸至硬膜外间隙，且无任何其他原发性感染部位。我们得出结论，原发性脊椎包虫病虽然罕见，但在该疾病流行地区，对于脊椎和脊柱的破坏性病变应考虑到这种疾病。应进行先进的影像学检查以诊断该疾病。对于这些患者，早期进行脊柱减压手术并辅以化疗是首选的治疗方法。
