Skip to main content
SpringerLink
Log in
SpringerLink
Log in

Outcome and Follow-up of Patients with Spinal Hydatidosis

  • Chapter
  • First Online:
Hydatidosis of the Central Nervous System: Diagnosis and Treatment

  • 633 Accesses

Abstract

Detailed information about the two types of echinococcosis, the cystic echinococcosis and the alveolar echinococcosis, is provided separately in specific sections. The outcome of hydatid disease will significantly depend on the location of the lesions. According to our opinion, every patient suffering from hydatid disease needs a clearly structured aftercare and follow-up calendar including physical examination, imaging, as well as serologic tests. This follow-up should also be individualized and consider the surgical progress, i.e., in case surgical spreading of the echinococcosis is likely, the follow-up needs to be adapted. Surgical decompression and chemotherapy are the principal forms of treatment in pediatric and adolescent cases of spinal hydatidosis. Unfortunately even with extensive surgery, results are far from being curative.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Ammann RW, Eckert J. Cestodes. Echinococcus. Gastroenterol Clin North Am. 1996;25:655–89.

    Article  CAS  PubMed  Google Scholar 

  • Arif SH, Zaheer S. Intradural extramedullary primary hydatid cyst of the spine in a child: a very rare presentation. Eur Spine J. 2009;18:179–82.

    Article  PubMed  PubMed Central  Google Scholar 

  • Baysefer A, Gonul E, Canakci Z, Erdogan E, Aydogan N, Kayali H. Hydatid disease of the spine. Spinal Cord. 1996;34:297–300.

    Article  CAS  PubMed  Google Scholar 

  • Belhassen-Garcia M, Carpio-Perez A, Blanco JF, Velasco-Tirado V, Pardo-Lledias J. Recurrent spinal echinococcosis. Int J Infect Dis. 2011;15:e435–6.

    Article  PubMed  Google Scholar 

  • Bettaieb A, Khaldi M, Ben Rhouma T, Touibi S. Spinal echinococcosis; clinical study of 32 cases (in French). Neurochirurgie. 1978;24:205–10.

    CAS  PubMed  Google Scholar 

  • Braithwaite PA, Lees RF. Vertebral hydatid disease: radiological assessment. Radiology. 1981;140:763–6.

    CAS  PubMed  Google Scholar 

  • Bron JL, van Kemenade FJ, Verhoof OJ, Wuisman PI. Long term follow-up of a patient with disseminated spinal hydatidosis. Acta Orthop Belg. 2007;73:678–82.

    PubMed  Google Scholar 

  • Brunetti E, Kern P, Vuitton DA. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop. 2010;114:1–16.

    Article  PubMed  Google Scholar 

  • Celik C, Sasmaz MF, Oktay F, Ucan H, Kaptanoglu E. Paraplegia associated with spinal hydatid cyst: a case report. Spine (Phila Pa 1976). 2010;35:E356–8.

    Article  Google Scholar 

  • Claudon M, Bracard S, Plenat F, Regent D, Bernadac P, Picard L. Spinal involvement in alveolar echinococcosis: assessment of two cases. Radiology. 1987;162:571–2.

    CAS  PubMed  Google Scholar 

  • Duewell S, Marincek B, von Schulthess GK, Ammann R. MRT and CT in alveolar echinococcosis of the liver (in German). Rofo. 1990;152:441–5.

    Article  CAS  PubMed  Google Scholar 

  • Haddad FS, Haddad FS, Haddad SI. La malignité de l’échinococcose. Rev Med Moyen Orient. 1963;20:270–5.

    CAS  PubMed  Google Scholar 

  • Herrera A, Martinez AA, Rodriguez J. Spinal hydatidosis. Spine (Phila Pa 1976). 2005;30:2439–44.

    Article  Google Scholar 

  • Islekel S, Ersahin Y, Zileli M, Oktar N, Oner K, Ovül I, Ozdamar N, Tuncbay E. Spinal hydatid disease. Spinal Cord. 1998;36:166–70.

    Article  CAS  PubMed  Google Scholar 

  • Keller TM, Schweitzer JS, Helfend LK, Chappell T. Treatment of progressive cervical spinal instability secondary to hydatid disease. A case report. Spine (Phila Pa 1976). 1997;22:915–9.

    Article  CAS  Google Scholar 

  • Kotil K, Tari R, Savas Y. Medical treatment of primary extradural solitary lumbar hydatid disease. J Clin Neurosci. 2010;17:793–5.

    Article  PubMed  Google Scholar 

  • Lawn SD, Bligh J, Craig PS, Chiodini PL. Human cystic echinococcosis: evaluation of post-treatment serologic follow-up by IgG subclass antibody detection. Am J Trop Med Hyg. 2004;70:329–35.

    PubMed  Google Scholar 

  • Limaiem F, Bellil S, Bellil K, Chelly I, Mekni A, Khaldi M, Haouet S, Zitouna M, Kchir N. Primary hydatidosis of the central nervous system: a retrospective study of 39 Tunisian cases. Clin Neurol Neurosurg. 2010;112:23–8.

    Article  PubMed  Google Scholar 

  • Merkle EM, Kramme E, Vogel J, Krämer S, Schulte M, Usadel S, Kern P, Brambs HJ. Bone and soft tissue manifestations of alveolar echinococcosis. Skeletal Radiol. 1997;26:289–92.

    Article  CAS  PubMed  Google Scholar 

  • Nell M, Burgkart RH, Gradl G, von Eisenhart-Rothe R, Schaeffeler C, Trappe D, da Costa CP, Gradinger R, Kirchhoff C. Primary extrahepatic alveolar echinococcosis of the lumbar spine and the psoas muscle. Ann Clin Microbiol Antimicrob. 2011;10:13.

    Article  PubMed  PubMed Central  Google Scholar 

  • Nouir NB, Nuñez S, Frei E, Gorcii M, Müller N, Gianinazzi C, Mekki M, Nouri A, Babba H, Gottstein B. Post-surgical follow-up (by ELISA and immunoblotting) of cured versus non-cured cystic echinococcosis in young patients. Parasitology. 2008;135:105–14.

    Article  PubMed  Google Scholar 

  • Ozek MM. Complications of central nervous system hydatid disease. Pediatr Neurosurg. 1994;20:84–91.

    Article  CAS  PubMed  Google Scholar 

  • Pamir MN, Akalan N, Ozgen T, Erbengi A. Spinal hydatid cysts. Surg Neurol. 1984;21:53–7.

    Article  CAS  PubMed  Google Scholar 

  • Pamir MN, Ozduman K, Elmaci I. Spinal hydatid disease. Spinal Cord. 2002;40:153–60.

    Article  PubMed  Google Scholar 

  • Papagelopoulos PJ, Peterson HA, Ebersold MJ, Emmanuel PR, Choudhury SN, Quast LM. Spinal column deformity and instability after lumbar or thoracolumbar laminectomy for intraspinal tumors in children and young adults. Spine (Phila Pa 1976). 1997;22:442–51.

    Article  CAS  Google Scholar 

  • Reuter S, Jensen B, Buttenschoen K, Kratzer W, Kern P. Benzimidazoles in the treatment of alveolar echinococcosis: a comparative study and review of the literature. J Antimicrob Chemother. 2000a;46:451–6.

    Article  CAS  PubMed  Google Scholar 

  • Reuter S, Seitz HM, Kern P, Junghanss T. Extrahepatic alveolar echinococcosis without liver involvement: a rare manifestation. Infection. 2000b;28:187–92.

    Article  CAS  PubMed  Google Scholar 

  • Romig T. Echinococcus multilocularis in Europe-state of the art. Vet Res Commun. 2009;33:31–4.

    Article  PubMed  Google Scholar 

  • Scarlata F, Giordano S, Saporito L, Marasa L, Li Pani G, Odierna A, Scaglione V, Di Carlo P, Romano A. Cystic hydatidosis: a rare case of spine localization. Infez Med. 2011;19:39–41.

    PubMed  Google Scholar 

  • Scheuring UJ, Seitz HM, Wellmann A, Hartlapp JH, Tappe D, Brehm K, Spengler U, Sauerbruch T, Rockstroh JK. Long-term benzimidazole treatment of alveolar echinococcosis with hematogenic subcutaneous and bone dissemination. Med Microbiol Immunol. 2003;192:193–5.

    Article  PubMed  Google Scholar 

  • Schnepper GD, Johnson WD. Recurrent spinal hydatidosis in North America. Case report and review of the literature. Neurosurg Focus. 2004;17:E8.

    PubMed  Google Scholar 

  • Sengul G, Kadioglu HH, Kayaoglu CR, Aktas S, Akar A, Aydin IH. Treatment of spinal hydatid disease: a single center experience. J Clin Neurosci. 2008;15:507–10.

    Article  PubMed  Google Scholar 

  • Sharma AK, Diyora B, Badhe P, Nayak N, Patankar P, Chopra G. Neurological picture. Primary multiple calvarial hydatid cysts-a rare occurrence. J Neurol Neurosurg Psychiatry. 2011;82:349–50.

    Article  PubMed  Google Scholar 

  • Spies C, Weisskopf M, Ohnsorge JA. Intraspinal echinococcosis within the lumbar spine of an 18-year-old male patient (in German). Z Orthop Unfall. 2008;146:463–7.

    CAS  PubMed  Google Scholar 

  • Sudo H, Minami A. Neurological picture. A widespread echinococcosis of the spine. J Neurol Neurosurg Psychiatry. 2010;81:892.

    Article  CAS  PubMed  Google Scholar 

  • Taghipoor M, Razmkon A. Neurological picture. Huge primary intracranial hydatid cysts. J Neurol Neurosurg Psychiatry. 2009;80:1149.

    Article  CAS  PubMed  Google Scholar 

  • Takci E, Sengul G, Akar A, Uslu H, Alper F, Erdogan F, Aydin IH. Alveolar echinococcosis of the brain in five patients. J Clin Neurosci. 2008;15:1105–9.

    Article  PubMed  Google Scholar 

  • Tappe D, Frosch M, Sako Y, Itoh S, Grüner B, Reuter S, Nakao M, Ito A, Kern P. Close relationship between clinical regression and specific serology in the follow-up of patients with alveolar echinococcosis in different clinical stages. Am J Trop Med Hyg. 2009;80:792–7.

    PubMed  Google Scholar 

  • Taratuto AL, Venturiello SM. Echinococcosis. Brain Pathol. 1997;7:673–9.

    Article  CAS  PubMed  Google Scholar 

  • Thaler M, Gabl M, Lechner R, Gstottner M, Bach CM. Severe kyphoscoliosis after primary Echinococcus granulosus infection of the spine. Eur Spine J. 2010;19:1415–22.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Torgerson PR, Schweiger A, Deplazes P, Pohar M, Reichen J, Ammann RW, Tarr PE, Halkik N, Müllhaupt B. Alveolar echinococcosis: from a deadly disease to a well-controlled infection. Relative survival and economic analysis in Switzerland over the last 35 years. J Hepatol. 2008;49:72–7.

    Article  PubMed  Google Scholar 

  • Toussaint F, Pere P, Le Chaffotec L, Grandhaye P, Pourel J, Chary-Valckenaere I. Alveolar echinococcosis of the spine. J Clin Rheumatol. 2001;7:248–51.

    Article  CAS  PubMed  Google Scholar 

  • Turgut M. Hydatid disease of the spine: a survey study from Turkey. Infection. 1997;25:221–6.

    Article  CAS  PubMed  Google Scholar 

  • Turgut M, Turgut AT. Spinal intradural extramedullary hydatidosis: report of 3 cases. Neurosurgery. 2010;67:E1471–2.

    Article  PubMed  Google Scholar 

  • Turtas S, Viale ES, Pau A. Long-term results of surgery for hydatid disease of the spine. Surg Neurol. 1980;13:468–70.

    CAS  PubMed  Google Scholar 

  • Viljoen H, Crane J. Hydatid disease of the spine. Spine (Phila Pa 1976). 2008;33:2479–80.

    Article  Google Scholar 

  • Vuitton DA. Benzimidazoles for the treatment of cystic and alveolar echinococcosis: what is the consensus? Expert Rev Anti Infect Ther. 2009;7:145–9.

    Article  CAS  PubMed  Google Scholar 

  • Wang J, Cai B, You C. Surgical treatment options for cerebral alveolar echinococcosis: experience in six patients. Neurol India. 2009;57:157–61.

    Article  PubMed  Google Scholar 

  • WHO. Guidelines for treatment of cystic and alveolar echinococcosis in humans. WHO Informal Working Group on Echinococcosis. Bull World Health Organ. 1996;74:231–42.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Unfallchirurgie, Klinikum Rechts der Isar, Technische Universitaet Muenchen, Ismaningerstrasse 22, Muenchen, 81675, Germany

    Lukas K. Postl cand. Med & Chlodwig Kirchhoff MD

Authors
  1. Lukas K. Postl cand. Med
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Chlodwig Kirchhoff MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Chlodwig Kirchhoff MD .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Adnan Menderes University School of Medicine, Aydin, Turkey

    Mehmet Turgut

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Postl, L.K., Kirchhoff, C. (2014). Outcome and Follow-up of Patients with Spinal Hydatidosis. In: Turgut, M. (eds) Hydatidosis of the Central Nervous System: Diagnosis and Treatment. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54359-3_20

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-54359-3_20

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-54358-6

  • Online ISBN: 978-3-642-54359-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation