Spinal Hydatid Cyst Disease : Challenging Surgery - an Institutional Experience

Caglar, Yusuf Sukru; Ozgural, Onur; Zaimoglu, Murat; Kilinc, Cemil; Eroglu, Umit; Dogan, Ihsan; Kahilogullari, Gokmen

추천

검색

자료유형: 학술저널

저자정보: Caglar, Yusuf Sukru (Department of Neurosurgery, Ankara University School of Medicine) Ozgural, Onur (Department of Neurosurgery, Ankara University School of Medicine) Zaimoglu, Murat (Department of Neurosurgery, Ankara University School of Medicine) Kilinc, Cemil (Department of Neurosurgery, Ankara University School of Medicine) Eroglu, Umit (Department of Neurosurgery, Ankara University School of Medicine) Dogan, Ihsan (Department of Neurosurgery, Ankara University School of Medicine) Kahilogullari, Gokmen (Department of Neurosurgery, Ankara University School of Medicine)

저널정보: 대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제62권 제2호

발행연도: 2019.1

수록면: 209 - 216 (8page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Objective : Hydatid cyst disease is caused by the parasite Echinococcus granulosus. It is rarely seen in the vertebral system, occurring at a rate of 0.2-1%. The aim of this study is to present 12 spinal hydatid cyst cases, and propose a new type of drainage of the cyst. Methods : Twelve cases of spinal hydatid cysts, surgical operations, multiple operations, chronic recurrences, and spinal hydatic cyst excision methods are discussed in the context of the literature. Patients are operated between 2005 and 2016. All the patients are kept under routine follow up. Patient demographic data and clinicopathologic characteristics are examined. Results : Six male and six female patients with a median age of 38.6 at the time of surgery were included in the study. Spinal cyst hydatid infection sites were one odontoid, one cervical, five thoracic, two lumbar, and three sacral. In all cases, surgery was performed, with the aim of total excision of the cyst, decompression of the spinal cord, and if necessary, stabilization of the spinal column. Mean follow up was 61.3 months (10-156). All the patients were prescribed Albendazole. Three patients had secondary hydatid cyst infection (one lung and two hepatic). Conclusion : The two-way drainage catheter placed inside a cyst provides post-operative chlorhexidine washing inside the cavity. Although a spinal hydatid cyst is a benign pathology and seen rarely, it is extremely difficult to achieve a real cure for patients with this disease. Treatment modalities should be aggressive and include total excision of cyst without rupture, decompression of spinal cord, flushing of the area with scolicidal drugs, and ensuring spinal stabilization. After the operation the patients should be kept under routine follow up. Radiological and clinical examinations are useful in spotting a recurrence.

#Spinal cystic echinococcosis #Surgery #Management

참고문헌 (47)

참고문헌 신청

Abbassioun K / 2001 / Diagnosis and management of hydatid cyst of the central nervous system: Part 2: Hydatid cysts of the skull, orbit, and spine / Neurosurg Q 11:10~16

Abdelhakim K / 2014 / A case of sacral hydatid cyst / Int J Surg Case Rep 5:434~436

Agnihotri M / 2017 / Hydatid disease of the spine: a rare case / J Craniovertebr Junction Spine 8:159~160

Atalan G / 2016 / A case of alveolar echinococcosis presenting as cerebral and spinal intradural metastases / Eurasian J Med 48:149~152

Bettaieb A / 1978 / Spinal echinococcosis;clinical study of 32 cases(author’s transl) / Neurochirugie 24:205~210

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!