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Related Experiment Videos

[High-grade transverse syndrome caused by echinococcus cysts]

K F Druschky1, T Niederstadt, W Jourdan

  • 1Neurologische Klinik Städtischen Klinikums Karlsruhe.

Der Nervenarzt
|February 1, 1995
PubMed
Summary

A 16-year-old experienced severe back pain and paraparesis due to Echinococcus cysts in the thoracic spine. Surgical removal and medication led to neurological improvement.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Surgical Case Report

Background:

  • Echinococcosis is a parasitic disease caused by tapeworms of the genus Echinococcus.
  • Spinal involvement is rare but can lead to significant neurological deficits.

Observation:

  • A 16-year-old male presented with abdominal and back pain, progressing to paraparesis.
  • Clinical examination revealed paraplegic syndrome with sensory level at T7, lower extremity spasticity, and urinary incontinence.
  • Cerebrospinal fluid (CSF) analysis showed elevated protein levels (183 mg/dl).

Findings:

  • Thoracic spine CT and MRI revealed cystic lesions in the paravertebral area and 7th rib, involving the 6th and 7th thoracic vertebrae.
  • Serum antibody titers for Echinococcus were positive.

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  • Histopathological examination confirmed multilocular Echinococcus lesions.

    • Implications:

    • Surgical corporectomy of affected thoracic vertebrae, followed by bone grafting and instrumentation, was performed.
    • Postoperative treatment with mebendazole resulted in a decrease in neurological deficits.
    • This case highlights the importance of considering parasitic infections in spinal pathologies, even in non-endemic areas, and the efficacy of combined surgical and medical management.