Spinal hydatidosis (Study of 06 cases)

Ghoul, Rachid Brahim; Trade Khodja, Rafik

JOURNAL DE NEUROCHIRURGIE
Volume 19, Numéro 1, Pages 12-16
2024-03-30

Spinal Hydatidosis (study Of 06 Cases)

Authors : Ghoul Rachid Brahim . Trade Khodja Rafik .

Abstract

Vertebral localization of the hydatid cyst is a severe form of bone hydatidosis, is a parasitic infection caused by the larval forms of the tapeworms Echinococcus granulosus, The disease is slowly remaining silent (a long incubation period) which may explain why this pathology is often discovered at the stage of neurological complications. The objective of this study is to recall the clinical and radiological aspects of this condition and the importance of early diagnosis and appropriate management. We report a study of six patients with vertebral hydatidosis, five men and one woman, four (04) patients operated in the emergency setting for spinal cord compression (decompression by wide laminectomy with evacuation of intra and extra canal vesicles).Albendazole-based medical treatment is instituted in all patients. Results: The evolution was favorable for four patients, the other two patients reoperated for a local recurrence.Conclusion: Vertebral hydatidosis is a rare condition with a poor prognosis due to the risk of neurological damage, the infiltrating nature of bone lesions, the frequency of relapses and therapeutic difficulties . The only curative method remains surgery, which must aim for complete and large excision of the lesions as if it were a “malignant tumour”.