RSS-Feed abonnieren
DOI: 10.1055/s-2008-1038543
© Georg Thieme Verlag KG Stuttgart · New York
Intraspinale Echinokokkose der Lendenwirbelsäule eines 18-jährigen männlichen Patienten
Intraspinal Echinococcosis within the Lumbar Spine of an 18-Year-Old Male PatientPublikationsverlauf
Publikationsdatum:
14. August 2008 (online)
![](https://www.thieme-connect.de/media/zfo/200804/lookinside/thumbnails/10.1055-s-2008-1038543-1.jpg)
Zusammenfassung
Die Echinokokkose mit humanpathogener Relevanz ist eine in Europa seltene Erkrankung. Die vertebrale Manifestation dieser Zoonose liegt bei einem Prozent der Fälle. Die intraspinale Echinokokkose tritt weltweit nur sporadisch auf, wobei sich die extradurale häufiger als die intradurale manifestiert. Anhand einer aktuellen Kasuistik werden die diagnostischen und insbesondere die spezifischen therapeutischen Konsequenzen und Besonderheiten dieser außerordentlich seltenen Entität dargestellt.
Abstract
Echinococcosis of human pathogenetic relevance is a very rare disease in Europe. The vertebral manifestation of the latter zoonosis constitutes one percent of all cases. Intraspinal echinococcosis appears worldwide just sporadically, whereas extradurally located cysts are identified more often than intradurally located ones. The diagnostic and specific therapeutic consequences of this very seldom entity are discussed based on a case report.
Schlüsselwörter
Echinokokkose - Wirbelsäule - intraspinal - Hydatiden
Key words
Echinococcosis - spine - intraspinal - hydatid
Literatur
- 1 Garippa G. Updates on cystic echinococcosis (CE) in Italy. Parassitologia. 2006; 48 57-59
- 2 Eckert J, Deplazes P. Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. Clin Microbiol Rev. 2004; 17 107-35
- 3 Combalia A. et al . Hydatid cyst of gluteus muscle. Two cases. Review of the literature. Joint Bone Spine. 2005; 72 430-436
- 4 Hof H, Müller R L, Dörries R. Mikrobiologie. Stuttgart; Georg Thieme Verlag 2000
- 5 Sapkas G S, Machinis T G, Chloros G D. et al . Spinal hydatid disease, a rare but existent pathological entity: case report and review of the literature. South Med J. 2006; 99 178-183
- 6 Kazakos C J, Galanis V G, Verettas D, Polychronidis A, Simopoulos C. Primary hydatid disease in femoral muscles. J Int Med Res. 2005; 33 703-706
- 7 Braithwaite P A, Lees R F. Vertebral hydatid disease: radiological assessment. Radiology. 1981; 140 763-766
- 8 Morris D L, Dykes P W, Marriner S. et al . Albendazole: objective evidence of response in human hydatid disease. JAMA. 1985; 12 2053-2057
- 9 Kern P. Echinococcus granulosus infection: clinical presentation, medical treatment and outcome. Langenbecks Arch Surg. 2003; 388 413-420
- 10 Smego Jr R A, Bhatti S, Khaliq A A. et al . Percutaneous aspiration-injection reaspiration drainage plus albendazole or mebendazole for hepatic cystic echinococcosis: a meta-analysis. Clin Infect Dis. 2003; 37 1073-1083
- 11 Morris D L, Richards K S. Hydatid Disease. Current Medical and Surgical Management. Oxford, United Kingdom; Butterworth-Heinemann Ltd. 1992
- 12 Filice C, Brunetti E. Use of PAIR in human cystic echinococcosis. Acta Trop. 1997; 64 95-107
- 13 Brunetti E, Filice C. Radiofrequency thermal ablation of echinococcal liver cysts. Lancet. 2001; 358 1464
- 14 Kern P, Reuter S, Kratzer W, Buttenschoen K. [Treatment of cystic echinococcosis]. Dtsch Med Wochenschr. 2001; 126 51-54
- 15 World Health Organization . Guidelines for treatment of cystic and alveolar echinococcosis. WHO. 1996; 74 231-242
- 16 Ferrandez H D, Gomez-Castresana F, Lopez-Duran L, Mata P, Brandau D, Sanchez-Barba A. Osseous hydatidosis. J Bone Joint Surg [Am]. 1978; 60 685-690
- 17 Islekel S, Zileli M, Ersahin Y. Intradural spinal hydatid cysts. Eur Spine J. 1998; 7 162-164
- 18 Kammerer W S, Schantz P M. Echinococcal disease. Infect Dis Clin North Am. 1993; 7 605-618
- 19 Kahilogullari G, Tuna H, Aydin Z, Colpan E, Egemen N. Primary intradural extramedullary hydatid cyst. Am J Med Sci. 2005; 329 202-204
- 20 Marani S D, Canossi G C, Nicoli F A. et al . Hydatid disease: MR imaging study. Radiology. 1990; 175 701-706
- 21 Prabhakar M M, Acharya A J, Modi D R, Jadav B. Spinal hydatid disease: a case series. J Spinal Cord Med. 2005; 28 426-431
- 22 Mazyad M A, Morsy T A, Habib K S. Vertebral unilocular hydatidosis in a shepherd and his wife. J Egypt Soc Parasitol. 1999; 29 547-550
- 23 Arazi M, Erikoglu M, Odev K, Memik R, Ozdemir M. Primary echinococcus infestation of the bone and muscles. Clin Orthop Relat Res. 2005; 432 234-241
- 24 Mattern C, Gardner M, Grose A, Helfet D. Case report: Echinococcus disease of the bone presenting as a femoral shaft nonunion. Clin Orthop Relat Res. 2007; 458 220-225
- 25 Khazim R, Fares Y, Heras-Palou C, Ruiz Barnes P. Posterior decompression of spinal hydatidosis: long term results: Fundacion Jimenez Diaz, Madrid, Spain. Clin Neurol Neurosurg. 2003; 105 209-214
Dr. med. Christian Spies
Orthopädische Universitätsklinik der RWTH Aachen
Pauwelsstraße 30
52074 Aachen
eMail: cspies@ukaachen.de