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Of Cestodes and Men: Surgical Treatment of a Spinal Hydatid Cyst

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Of Cestodes and Men: Surgical Treatment of a Spinal Hydatid Cyst. / Saul, Dominik; Seitz, Mark-Tilmann; Weiser, Lukas; Oberthür, Swantje; Roch, Jonathan; Bremmer, Felix; Perske, Christina; Viezens, Lennart; Sehmisch, Stephan; Lehmann, Wolfgang.

In: J NEUROL SURG PART A, Vol. 81, No. 1, 01.2020, p. 86-90.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Saul, D, Seitz, M-T, Weiser, L, Oberthür, S, Roch, J, Bremmer, F, Perske, C, Viezens, L, Sehmisch, S & Lehmann, W 2020, 'Of Cestodes and Men: Surgical Treatment of a Spinal Hydatid Cyst', J NEUROL SURG PART A, vol. 81, no. 1, pp. 86-90. https://doi.org/10.1055/s-0039-1693707

APA

Saul, D., Seitz, M-T., Weiser, L., Oberthür, S., Roch, J., Bremmer, F., Perske, C., Viezens, L., Sehmisch, S., & Lehmann, W. (2020). Of Cestodes and Men: Surgical Treatment of a Spinal Hydatid Cyst. J NEUROL SURG PART A, 81(1), 86-90. https://doi.org/10.1055/s-0039-1693707

Vancouver

Saul D, Seitz M-T, Weiser L, Oberthür S, Roch J, Bremmer F et al. Of Cestodes and Men: Surgical Treatment of a Spinal Hydatid Cyst. J NEUROL SURG PART A. 2020 Jan;81(1):86-90. https://doi.org/10.1055/s-0039-1693707

Bibtex

@article{9dd0a0125bc04ffa97df9008d099a693,
title = "Of Cestodes and Men: Surgical Treatment of a Spinal Hydatid Cyst",
abstract = "BACKGROUND:  The cestode Echinococcus granulosus causes hydatid disease. In addition to manifestations in the liver and lung, it can lead to cystic lesions in the spine.CASE DESCRIPTION:  We report a 42-year-old male patient with primary hydatid disease in the eighth thoracic vertebra. The only clinical symptom was chronic back pain. Although laboratory findings were normal, imaging displayed lytic destruction that raised the suspicion of a metastatic disease. Diagnostics of the thoraces and abdomen did not reveal other pathologic abnormalities. Follow-up magnetic resonance imaging (MRI) depicted a progressive compression of the spinal cord and inhomogeneous structure in the fat-suppressed sequences. Because the Jamshidi biopsy was inconclusive, the tumor board recommended surgery. Dorsal decompression, spondylodesis of T6-T10, and vertebral column resection of T8 with complete cyst removal were performed. The resected vertebrae showed a mucous-like lesion with white granular tissue interfusing the whole vertebral body. A pathologic examination and enzyme-linked immunosorbent assay confirmed E. granulosus. Thus chemotherapy with albendazole was initiated. A follow-up MRI of the whole spine confirmed complete remission and found no additional resettlements. The patient's back pain was resolved without neurologic deficits.CONCLUSIONS:  For lytic manifestations of the vertebral column, hydatid cysts should be considered a differential diagnosis in addition to malignant metastasis, tuberculosis, and osteomyelitis. Thorough surgical resection and strict follow-up are necessary.",
keywords = "Adult, Animals, Decompression, Surgical/methods, Echinococcosis/diagnostic imaging, Echinococcus granulosus/isolation & purification, Humans, Magnetic Resonance Imaging, Male, Neurosurgical Procedures/methods, Orthopedic Procedures/methods, Spinal Diseases/diagnostic imaging, Thoracic Vertebrae/diagnostic imaging, Treatment Outcome",
author = "Dominik Saul and Mark-Tilmann Seitz and Lukas Weiser and Swantje Oberth{\"u}r and Jonathan Roch and Felix Bremmer and Christina Perske and Lennart Viezens and Stephan Sehmisch and Wolfgang Lehmann",
note = "Georg Thieme Verlag KG Stuttgart · New York.",
year = "2020",
month = jan,
doi = "10.1055/s-0039-1693707",
language = "English",
volume = "81",
pages = "86--90",
journal = "J NEUROL SURG PART A",
issn = "2193-6315",
publisher = "Georg Thieme Verlag KG",
number = "1",

}

RIS

TY - JOUR

T1 - Of Cestodes and Men: Surgical Treatment of a Spinal Hydatid Cyst

AU - Saul, Dominik

AU - Seitz, Mark-Tilmann

AU - Weiser, Lukas

AU - Oberthür, Swantje

AU - Roch, Jonathan

AU - Bremmer, Felix

AU - Perske, Christina

AU - Viezens, Lennart

AU - Sehmisch, Stephan

AU - Lehmann, Wolfgang

N1 - Georg Thieme Verlag KG Stuttgart · New York.

PY - 2020/1

Y1 - 2020/1

N2 - BACKGROUND:  The cestode Echinococcus granulosus causes hydatid disease. In addition to manifestations in the liver and lung, it can lead to cystic lesions in the spine.CASE DESCRIPTION:  We report a 42-year-old male patient with primary hydatid disease in the eighth thoracic vertebra. The only clinical symptom was chronic back pain. Although laboratory findings were normal, imaging displayed lytic destruction that raised the suspicion of a metastatic disease. Diagnostics of the thoraces and abdomen did not reveal other pathologic abnormalities. Follow-up magnetic resonance imaging (MRI) depicted a progressive compression of the spinal cord and inhomogeneous structure in the fat-suppressed sequences. Because the Jamshidi biopsy was inconclusive, the tumor board recommended surgery. Dorsal decompression, spondylodesis of T6-T10, and vertebral column resection of T8 with complete cyst removal were performed. The resected vertebrae showed a mucous-like lesion with white granular tissue interfusing the whole vertebral body. A pathologic examination and enzyme-linked immunosorbent assay confirmed E. granulosus. Thus chemotherapy with albendazole was initiated. A follow-up MRI of the whole spine confirmed complete remission and found no additional resettlements. The patient's back pain was resolved without neurologic deficits.CONCLUSIONS:  For lytic manifestations of the vertebral column, hydatid cysts should be considered a differential diagnosis in addition to malignant metastasis, tuberculosis, and osteomyelitis. Thorough surgical resection and strict follow-up are necessary.

AB - BACKGROUND:  The cestode Echinococcus granulosus causes hydatid disease. In addition to manifestations in the liver and lung, it can lead to cystic lesions in the spine.CASE DESCRIPTION:  We report a 42-year-old male patient with primary hydatid disease in the eighth thoracic vertebra. The only clinical symptom was chronic back pain. Although laboratory findings were normal, imaging displayed lytic destruction that raised the suspicion of a metastatic disease. Diagnostics of the thoraces and abdomen did not reveal other pathologic abnormalities. Follow-up magnetic resonance imaging (MRI) depicted a progressive compression of the spinal cord and inhomogeneous structure in the fat-suppressed sequences. Because the Jamshidi biopsy was inconclusive, the tumor board recommended surgery. Dorsal decompression, spondylodesis of T6-T10, and vertebral column resection of T8 with complete cyst removal were performed. The resected vertebrae showed a mucous-like lesion with white granular tissue interfusing the whole vertebral body. A pathologic examination and enzyme-linked immunosorbent assay confirmed E. granulosus. Thus chemotherapy with albendazole was initiated. A follow-up MRI of the whole spine confirmed complete remission and found no additional resettlements. The patient's back pain was resolved without neurologic deficits.CONCLUSIONS:  For lytic manifestations of the vertebral column, hydatid cysts should be considered a differential diagnosis in addition to malignant metastasis, tuberculosis, and osteomyelitis. Thorough surgical resection and strict follow-up are necessary.

KW - Adult

KW - Animals

KW - Decompression, Surgical/methods

KW - Echinococcosis/diagnostic imaging

KW - Echinococcus granulosus/isolation & purification

KW - Humans

KW - Magnetic Resonance Imaging

KW - Male

KW - Neurosurgical Procedures/methods

KW - Orthopedic Procedures/methods

KW - Spinal Diseases/diagnostic imaging

KW - Thoracic Vertebrae/diagnostic imaging

KW - Treatment Outcome

U2 - 10.1055/s-0039-1693707

DO - 10.1055/s-0039-1693707

M3 - SCORING: Journal article

C2 - 31486051

VL - 81

SP - 86

EP - 90

JO - J NEUROL SURG PART A

JF - J NEUROL SURG PART A

SN - 2193-6315

IS - 1

ER -