Spinal Echinococcosis With Paralysis Successfully Treated With Posterior Stabilization and Antiparasitic Drugs
Case: A 42-year-old woman presented with lateral chest and back pain. She was referred to our hospital after magnetic resonance imaging revealed a thoracic spine lesion. The initial examination revealed no obvious neurological deficits. A biopsy was performed, and enzyme-linked immunosorbent assay and western blotting confirmed Echinococcus infection. Paralysis and paresthesia developed, and stabilization and albendazole treatment were initiated. Postoperatively, the paralysis improved, and 2 years later, there was no lesion progression or symptom recurrence. Conclusions: Lesion resection is ideal for spinal echinococcosis; however, when resection is difficult, posterior stabilization and antiparasitic drugs may be effective.
Authors
- Zen‐ichi Tanei (ORCID: https://orcid.org/0000-0003-3474-2646)
- Daisuke Ukeba (ORCID: https://orcid.org/0000-0002-8844-3476)
- Norimasa Iwasaki (ORCID: https://orcid.org/0000-0002-5496-4046)
- Hiroyuki Tachi (ORCID: https://orcid.org/0000-0003-4703-2264)
- Tsutomu Endo (ORCID: https://orcid.org/0000-0002-2998-2242)
- Takuya Yabumoto (ORCID: https://orcid.org/0000-0002-2413-8413)
- Takashi Ohnishi (ORCID: https://orcid.org/0000-0002-9228-7250)
- Shinya Tanaka (ORCID: https://orcid.org/0000-0001-6470-3301)
- Masahiko Takahata (ORCID: https://orcid.org/0000-0002-2436-2175)
- Hideki Sudo (ORCID: https://orcid.org/0000-0002-8635-4648)
- Emi Takakuwa (ORCID: https://orcid.org/0000-0001-6306-7446)
- Katsuhisa Yamada (ORCID: https://orcid.org/0000-0002-9841-5890)
Institutions
- Hokkaido University Hospital (JP)
Publication Details
- Journal
- JBJS Case Connector
- Published
- 2024-10-01
- DOI
- https://doi.org/10.2106/jbjs.cc.24.00342
- Primary Topic
- Parasitic infections in humans and animals
- Type
- article
- Field-Weighted Citation Impact
- 0.00