Moharamzad Yashar, Kharazi Homayoun Hadizadeh, Shobeiri Elham, Farzanegan Gholamreza, Hashemi Forough, Namavari Abed
Department of Radiology, Hazrat Rasoul Hospital, Iran University of Medical Sciences, Niyayesh Street, Sattar Khan Avenue, Tehran, Iran.
J Neurosurg Spine. 2008 May;8(5):490-3. doi: 10.3171/SPI/2008/8/5/490.
Spinal echinococcosis is a rare entity, accounting for 1% of all cases of hydatid disease. The authors report the case of a 60-year-old man whom they treated for recurrent nerve root compression due to disseminated intraspinal echinococcosis (hydatid disease). Six years previously he had undergone surgery on an emergency basis at another institution after presenting with acute paraplegia due to a primary extradural hydatid cyst of the thoracic spine. Unfortunately, during surgical removal of the cysts, the echinococcosis disseminated into the spinal canal. This complication was documented by magnetic resonance (MR) imaging. In the 4 years before the authors treated him, he was hospitalized 4 times for 4 recurrences of nerve root compression. The authors treated the disseminated disease successfully with total T7-8 corpectomy, grafting with titanium cage and Texas Scottish Rite Hospital instrumentation, and long-term administration of albendazole (400 mg daily). Early diagnosis, proper utilization of MR imaging, and radical resection of diseased vertebrae and soft tissues followed by anthelmintic treatment are essential to control disseminated spinal hydatidosis and prevent recurrence.
脊柱包虫病是一种罕见疾病，占所有包虫病病例的1%。作者报告了一例60岁男性患者的病例，该患者因播散性椎管内包虫病（包虫病）导致复发性神经根受压而接受治疗。六年前，他因胸椎原发性硬膜外包虫囊肿出现急性截瘫后，在另一机构接受了急诊手术。不幸的是，在手术切除囊肿过程中，包虫病扩散至椎管。磁共振成像记录了这一并发症。在作者对他进行治疗前的4年里，他因神经根受压复发住院4次。作者通过T7 - 8椎体全切术、钛笼植骨及德克萨斯州苏格兰 rite 医院器械固定，并长期服用阿苯达唑（每日400mg）成功治疗了播散性疾病。早期诊断、合理使用磁共振成像、彻底切除患病椎体和软组织，随后进行驱虫治疗，对于控制播散性脊柱包虫病和预防复发至关重要。
