Clinica di Ortopedia e Traumatologia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Clinica di Malattie Infettive, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
J Biol Regul Homeost Agents. 2018 Nov-Dec;32(6 Suppl. 1):187-191.
Hydatid Cyst is a protozoal disease, whose spinal localization may be cause of pain and severe inability due to neurological symptoms and instability. Treatment combines the difficulties to eradicate the cyst with the spine regional constraints. The case of a 45-year-old woman is reported, affected by hydatid cyst in the spine, submitted to combination of medical treatment and surgery (double approach gross total excision and reconstruction) and followed up for 6 years. The treatment strategy allowed an excellent quality of life without pain and neurological symptoms at the latest follow-up. This case supports the validity to combine anthelmintic medical treatment and excisional surgery in the treatment of hydatid cyst of the spine. The medical treatment makes surgery more effective maintaining the result over long term. Subtotal or total excision of the cysts can be performed, including decompression of neural structures and adequate spine reconstruction.
包虫囊肿是一种原虫病，其脊柱定位可因神经症状和不稳定导致疼痛和严重的活动障碍。治疗方法结合了消除囊肿的难度和脊柱区域的限制。报告了一例 45 岁女性病例，患有脊柱包虫囊肿，采用药物治疗和手术（双入路大体全切除和重建）联合治疗，并随访 6 年。该治疗策略在最新随访时达到了无疼痛和神经症状的极佳生活质量。该病例支持在脊柱包虫囊肿的治疗中联合驱虫药物治疗和切除术的有效性。药物治疗可使手术更有效，长期维持治疗效果。可以进行囊肿的次全或全切，包括神经结构减压和充分的脊柱重建。
