Vertebral echinococcosis: A study of 5 cases - 26/09/17
, Ines Loubiri, Nadia Lazreg, Sawsen Layouni, Sonia Jemni, Faysel Khachnaoui
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Résumé |
Objective |
To determine clinical characteristics of vertebral hydatidosis, its management and the main prognosis factors.
Material/Patients and methods |
We report 5 cases of paraplegia secondary to vertebral hydatidosis and we evaluate functional and psychological outcome after rehabilitation.
Results |
They are four women and a man with a mean age 43.2 years. Symptoms were dorsal pain in two cases, low back pain in one case with gait disorders in all cases. Clinical exam found paraplegia and some bladder sphincter dysfunctions. Spine MRI showed cystic lesion. Surgery consisted on posterior laminectomy and removing the hydatid cystis lesion followed by a long rehabilitation period (mean period 14.6 years). Three patients mentioned functional improvement after treatment. Two patients suffered from a recurrent dorsal pain due to a recurrence of vertebral hydatidosis.
Discussion/Conclusion |
Despites its rare prevalence, the prognosis of vertebral hydatidosis is regarded as very poor due to its neurological complications and the high risk of its recurrence. Prevention and sanity educations stay the best measures.
Le texte complet de cet article est disponible en PDF.Keywords : Spinal infection, Hydatidosis
Plan
Vol 60 - N° S
P. e21 - septembre 2017 Retour au numéro
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