Druschky K F, Niederstadt T, Jourdan W, Stoltze D, Heckl R
Neurologische Klinik Städtischen Klinikums Karlsruhe.
Nervenarzt. 1995 Feb;66(2):136-9.
In this report we present the case of a 16-year-old patient, born in Macedonia, who complained of abdominal and back pain and developed paraparesis. On admission to hospital, he showed a paraplegic syndrome, the level of sensation being T7, together with high-grade paraparesis of the lower extremities and spasticity and urinary incontinence. The protein content of the CSF was raised to 183 mg/dl. CT and MRI of the thoracic spine showed cystic lesions at the level of the 6th and 7th thoracic vertebrae, in the paravertebral area and in the 7th rib on both sides. The antibody titer of Echinococcus in the serum was positive. To treat this problem, corporectomy of the 6th to 8th thoracic vertebrae was performed, the area being bridged by a corticospongoid pelvic bone graft and with instrumental support of the 5th to 9th thoracic vertebrae. Histological examination revealed multilocular Echinococcus lesions. Under long-term treatment with mebendazole, the neurological deficits decreased in the postoperative phase.
在本报告中，我们介绍了一名16岁患者的病例，该患者出生于马其顿，主诉腹部和背部疼痛，并出现了截瘫。入院时，他表现为截瘫综合征，感觉平面为T7，伴有双下肢重度截瘫、痉挛和尿失禁。脑脊液蛋白含量升至183mg/dl。胸椎的CT和MRI显示第6和第7胸椎水平、椎旁区域以及双侧第7肋骨有囊性病变。血清中棘球绦虫抗体滴度呈阳性。为治疗该问题，实施了第6至第8胸椎椎体切除术，该区域用皮质海绵状骨盆骨移植桥接，并对第5至第9胸椎进行器械支撑。组织学检查发现多房性棘球绦虫病变。在接受甲苯达唑长期治疗后，术后神经功能缺损有所减轻。
