来自巴西亚马逊地区的一名患者中，脊髓包虫囊肿作为神经损伤的病因。
Spinal hydatid cyst as cause of neurological injury in a patient from Brazilian amazon region.
作者信息
Santos Romel Corecha, Danda Guilherme José da Nobrega, Junior Altamir Monteiro, Gepp Ricardo de Amoreira
机构信息
Neurosurgery Department, Sarah Network of Rehabilitation Hospitals, SMHS 501 Bloco A, Brasília, Federal District, 70335-901, Brazil.
Internal Medicine Department, Sarah Network of Rehabilitation Hospitals, SMHS 501 Bloco A, Brasília, Federal District, 70335-901, Brazil.
出版信息
Radiol Case Rep. 2022 Apr 21;17(6):2238-2242. doi: 10.1016/j.radcr.2022.03.102. eCollection 2022 Jun.
infection is the primary cause of spinal hydatidosis. We describe the case of a 22-year-old man from the Brazilian Amazon region with crural spastic paraparesis and back pain. Radiological examinations showed multilocular lesions involving compression of the thoracic spine and rib injury. The patient underwent vertebrectomy with spinal stabilization and thoracoplasty with resectioning of the costal arch. Subsequently, the patient was prescribed oral treatment with albendazole. Marked recovery of the neurological status was achieved. Bone hydatid disease is rare, accounting for 0.5%-0.4% of all hydatid cysts, affecting the spine in 50% of cases. The treatment of choice is surgery accompanied by antiparasitic medication.
感染是脊柱包虫病的主要病因。我们描述了一名来自巴西亚马逊地区的22岁男性病例，他患有下肢痉挛性截瘫和背痛。影像学检查显示多房性病变，累及胸椎受压和肋骨损伤。患者接受了椎体切除并进行脊柱固定，以及胸廓成形术并切除肋弓。随后，患者接受了阿苯达唑口服治疗。神经功能状态明显恢复。骨包虫病很少见，占所有包虫囊肿的0.5%-0.4%，50%的病例累及脊柱。首选的治疗方法是手术并辅以抗寄生虫药物治疗。
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