Diagnostic Pitfalls of Spinal Echinococcosis

• DOI: 10.1097/01.bsd.0000211288.37013.42
• Publication Date: 2007-04-02T08:04:16Z
• Authors: Xinghua Song; Dapeng Liu; Hao Wen
• Keywords: Spinal disease

To critically examine and elucidate the diagnostic pitfalls of spinal echinococcosis. SUMMARY OF PATIENTS: From October 1957 to June 2006, 25 consecutive cases drawn from 5721 echinococcosis were collected in First Affiliated Hospital Xinjiang Medical University. The selected comprised 11 males 14 females; all treated with debridement operations. average age was 28.3 years (15 56 y). duration infestation hydatid disease 3.2 (0.5 12 Nineteen underwent magnetic resonance imaging (MRI) scanning, which identified 17 out 19 as having disease. lesion located cervical vertebrae 3, thoracic 11, lumbar 5, sacrum 6 cases.Eighteen available for follow up; period ranging 0.5 15 an 3.6 years. Casoni test performed positive patients (80%). In addition, 4 so-called 8 tests immunodiagnostic methods. MRI examination these diagnosed (89.47%). typical appearance is that a multilocular cyst signal parent similar muscle higher than secondary T1Weighted image (WI). water, either or overflowing adjacent cyst. Both cysts showed high signals TW1 rose wheel shapes. 18 cases, reviewed, had relapsed (61.11%).Although x-ray computed tomography images are tuberculosis, metastases, giant cell tumors, bone, shows distinctive features Serologic examinations important confirm correct diagnosis.