title: Staged Surgical Management in the Treatment of Primary Epidural Hydatidosis of the Spine: A Case Series and Review.
abstract: Hydatid disease is a parasitic infection linked to the Echinococcus granulosus tapeworm. Infected cysts can present anywhere in the human body, but the liver is the most frequently involved organ, followed by the lungs. The prognosis is generally poor and may be comparable to that of neoplastic disease. Primary spinal hydatidosis accounts for less than 1% of all cases and virtually all these cases have extradural involvement. We describe a case review consisting of two patients who presented over a three week period with primary spinal extradural hydatidosis in the Western Cape region of South Africa. Both patients presented with lower limb paraparesis and were treated aggressively with two-stage surgical procedures, resulting in a dramatic improvement in their neurological status.
authors.affiliation: Department of Neurosurgery, Groote Schuur Hospital, University of Cape Town.
authors.forename: Ameya S
authors.initials: AS
authors.lastname: Kamat
authors.affiliation: Department of Neurosurgery, Groote Schuur Hospital, University of Cape Town.
authors.forename: Crispin
authors.initials: C
authors.lastname: Thompson
authors.affiliation: Department of Neurosurgery, Groote Schuur Hospital, University of Cape Town.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Ben Husien
keywords: spinal hydatidosis; staged management
references.citation: Eur Spine J. 1998;7(2):162-4
references.pmid: 9629942
references.citation: J Neurosurg. 1976 Jan;44(1):72-6
references.pmid: 1244436
references.citation: Clin Orthop Relat Res. 1991 Oct;(271):164-9
references.pmid: 1914291
references.citation: Spine (Phila Pa 1976). 1997 Sep 1;22(17):2050-5
references.pmid: 9306538
references.citation: Paraplegia. 1992 Jul;30(7):517-9
references.pmid: 1508568
references.citation: Spinal Cord. 1996 May;34(5):297-300
references.pmid: 8963979
references.citation: Neurosurgery. 1997 Feb;40(2):407-9
references.pmid: 9007880
references.citation: Neuroradiology. 1998 Jun;40(6):390-2
references.pmid: 9689631
references.citation: Pediatr Neurosurg. 1994;20(1):84-91
references.pmid: 8142288
references.citation: Br J Neurosurg. 2005 Oct;19(5):425-7
references.pmid: 16455566
references.citation: Spine (Phila Pa 1976). 1997 Apr 15;22(8):915-9
references.pmid: 9127927
references.citation: J Neurosurg. 1999 Oct;91(2 Suppl):216-8
references.pmid: 10505508
references.citation: Acta Orthop Traumatol Turc. 2009 May-Jul;43(3):267-71
references.pmid: 19717947
references.citation: Neurochirurgie. 1978;24(4):205-10
references.pmid: 732921
references.citation: J Bone Joint Surg Br. 1956 Nov;38-B(4):884-91
references.pmid: 13376675
references.citation: Radiographics. 2003 Mar-Apr;23(2):475-94; quiz 536-7
references.pmid: 12640161
references.citation: Eur Spine J. 2002 Oct;11(5):500-3
references.pmid: 12384760
references.citation: Surg Neurol. 1984 Jan;21(1):53-7
references.pmid: 6689810