Hydatidosis of the Spinal Cord


Author(s), year

Country

Age and gender

Localization

Neurological status

Neuroimaging

Outcome

Bartel (1928)

France

NA

Cervical

NA

NA

NA

Deve (1928)

France

NA

Cervical, ID, EM

NA

NA

NA

Rauzier (1928)

France

NA

Cervical

NA

NA

NA

Vallè (1928)

France

NA

Cervico-thoraco-lumbar

NA

NA

NA

Bertrand et al. (1956)

Morocco

25, F

T11-T12 ID, EM

Paraplegia

Myelography

Recurrenceafter 13 mos

Boixados (1961)

Spain

4, F

T5 ID, EM

Paraplegia

Myelography

Partial recovery

Carrea and Murphy (1964)

Argentina

9, F

T4–T5 ID, EM

Paraplegia

Myelography

Total recovery

Pierini et al. (1965)

Argentina

NA

Cervical, ID

NA

Myelography

NA

Baurand et al. (1970)

North Africa

35, F

T6 ID, EM

Paraplegia

Myelography

Total recovery

Karvounis et al. (1977)

Greece

37, F

L5–S1 ID, EM

Sciatica

Myelography

Total recovery

Bettaieb et al. (1978)

Tunisia

4, M

Upper thoracic, ID, EM

Paraplegia

CT-myelography

Total recovery

Tunisia

8, M

Upper thoracic, ID, EM

Paraplegia

CT-myelography

Total recovery

Tunisia

8, M

Middle thoracic, ID, EM

Paraplegia

CT-myelography

Total recovery

San Martin Sánchez et al. (1980)

Spain

62, F

L2, ID, EM

Paraplegia

Myelography

Total recovery

Sharma et al. (1981)

India

14, M

T6–T10, ID, EM

Paraplegia

Myelography

Partial recovery

Pamir et al. (1984)

Turkey

34, F

L2, ID, EM

Paraplegia

Myelography

No change

Akhan et al. (1991)

Turkey

6, M

T9–T11, ID, EM

Paraplegia

CT-myelography

NA

Medjek et al. (1991)

Algeria

21, F

T12–L1, ID, EM

Paraplegia

CT-myelography

Total recovery

Fahl et al. (1994)

Haddad and Bitar (1997)a

Turgut (1997)b,c

Islekel et al. (1998)

Lebanon

55, F

T12–L1

Paraparesis

CT-myelography, MRI

NA

Lebanon

46, M

L4–S1

Sciatica

CT

Recovery

Lebanon

7, M, and 7, F

Cervical (2), thoracic (11),lumbar (4), sacral (1)

Pain (13), urinaryincontinence, weakness(5), sciatica (2)

Myelography (7),CT (4), MRI (2)

Death (2), totalrecovery (2),no change (1)

Turkey

61, M, and 23, F(mean age: NA)

Cervical (3), thoracic (35),thoracolumbar (3), lumbar(28), sacral (1), cervicaland lumbar (1)

Paraplegia and paraparesis (61), caudaequine syndrome (27)

Myelography (56),

MRI (8), CT (6),US (1)

Death (2), totalrecovery (5),recurrence (15)

Turkey

19, M

L2–L4, ID, EM

Paraplegia

Myelography

Partial recovery

Kabbaj-El Kouhen et al. (1999)

Morocco

6, M

L1–L3, ID, EM

Paraplegia

CT-myelography

Partial recovery

Chat et al. (2000)

Morocco

13, F

T5–T11, L4–L5, ID, EM

Paraplegia

CT-myelography,

MRI

Partial recovery

Pushparaj et al. (2001)

India

40, F

T10–T11, ID, EM

Paraplegia

MRI

Total recovery

Chakir et al. (2002)

Morocco

18, M

L1–L2, ID, EM

Paraplegia

MRI

Subtotal recovery

Onbas et al. (2004)

Turkey

48, M

Cervicothoracic, ID, EM

Paraparesis

MRI

Recurrence

Kahilogullari et al. (2005)

Turkey

32, F

L5–S2, ID, EM

Paraparesis

MRI

Total recovery

Layadi et al. (2005)

Morocco

35, M

Sacral, ED

Cauda equina syndrome

MRI

NA

Prabhakar et al. (2005)

India

3, M, and 1, F (mean age, 40 yr)

T8–T10

Paraplegia

Myelography

Without recovery

India

T5–T6

Paraplegia

Myelography

Without recovery

India

L5–S1

ASIA Grade C

Myelography, CT, MRI with contrast

Complete recoveryafter 1 yr

India

L2–L5 ED, ID

Cauda equina syndrome

Myelography, CT, MRI with contrast

Complete recoveryafter 1 yr

Charrada-Ben-Farhatet al. (2006)

Tunisia

40, M

T7–T8, ED

Paraplegia

MRI

Total recovery after discharge

Sapkas et al. (2006)

Greece

62, M

ED

NA

NA

NA

Kalkan et al. (2007)

Turkey

8, M

T7–T8, ID, EM

Paraparesis

MRI

Total recovery after 4 mos

Kotil et al. (2007)

Turkey

34, F

T11 ED

Paraplegia

MRI

NA

Secer et al. (2008)

Turkey

35, M

T12, ID, EM

Paraplegia

MRI

Total recovery after 8 mos

Arif and Zaheer (2009)

India

9, M

L1–L4, ID, EM

Paraparesis

MRI

Complete recoveryafter 6 mos

Jaiswal et al. (2009)

India

21, F

T10, ED

Paraplegia

MRI

Partial recovery after discharge

Kaen et al. (2009)

Spain

59, M

T6, T10–T12, ID, EM

Paraparesis

MRI

Without recovery

Lakhdar et al. (2009)

Morocco

22, M

T11

Paraparesis

MRI

Total recovery after 15 mos

Morocco

5, M

T12–L2

Paraparesis

MRI

Total recovery after 15 mos

Morocco

10, F

L2–L5, ID, EM

Paraparesis

MRI

Total recovery after 18 mos

Midyat et al. (2009)

Turkey

13, F

ID, EM

Paraparesis

NA

NA

Salduz et al. (2009)

Turkey

41, F

ED

Sciatica

MRI

Total recovery after 5.5 yr

Turan Süslü et al. (2009)

Turkey

34, M

T10–T11, ID

Paraparesis

MRI

Total recovery after 1 yr

Celik et al. (2010)

Turkey

34, M

Thoracic, ED

Paraplegia

MRI

Total recovery after 2 mos

Kotil et al. (2010)

Turkey

30, F

L4–L5, ED

Sciatica

MRI

Total recovery after 7 mos

Thaler et al. (2010)

Austria

6, F

T8–T9, ED

Paraplegia

CT, MRI

Total recovery after 18 mos

Ediz et al. (2011)

Turkey

25, F

T7–T12, ED

Paraplegia

MRI

Partial recovery


Abbreviations: M male, F female, C cervical, T thoracic, TC thoracolumbar, L lumbar, S sacral, IM intramedullary, EM extramedullary, ID intradural, ED extradural, CT computed tomography, MRI magnetic resonance imaging, US ultrasonography, mos months, yr year, NA not available

aOut of the cases reported by the authors, two cases had already been described by Fahl et al. earlier

bExcept for 13 patients, all had data suggestive of the exact location of the cysts in the spine

cOut of the cases reported by the author, two cases had already been described by Pamir et al. and Akhan et al. earlier



The disease usually spreads to the spine by direct extension from pulmonary, abdominal, or pelvic infestation and less often begins primarily in the vertebral body, affecting predominantly the dorsal region of the spine (Bhojraj and Shetty 1999; Garcia-Vicuna et al. 2000; Govender et al. 2000; Hamdan and Al-Kaisy 2000; Schnepper and Johnson 2004; Herrera et al. 2005; Prabhakar et al. 2005; Sapkas et al. 2006; Papanikolaou 2008; Spies et al. 2008). When hydatidosis begins in the spine, it usually begins in the marrow of a vertebral body and may progress around the neural arch, through adjacent ribs, reaching the spinal canal or the intervertebral discs; thus, spinal involvement is believed to occur through direct portovertebral venous shunts (Morshed 1977

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Mar 15, 2016 | Posted by in ULTRASONOGRAPHY | Comments Off on Hydatidosis of the Spinal Cord

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