Outcome and Follow-up of Patients with Spinal Hydatidosis
Detailed information about the two types of echinococcosis, the cystic echinococcosis and the alveolar echinococcosis, is provided separately in specific sections. The outcome of hydatid disease will significantly depend on the location of the lesions. According to our opinion, every patient suffering from hydatid disease needs a clearly structured aftercare and follow-up calendar including physical examination, imaging, as well as serologic tests. This follow-up should also be individualized and consider the surgical progress, i.e., in case surgical spreading of the echinococcosis is likely, the follow-up needs to be adapted. Surgical decompression and chemotherapy are the principal forms of treatment in pediatric and adolescent cases of spinal hydatidosis. Unfortunately even with extensive surgery, results are far from being curative.
KeywordsHydatid Cyst Surgical Decompression Contrast Material Administration Anthelmintic Treatment Cystic Echinococcosis
- Torgerson PR, Schweiger A, Deplazes P, Pohar M, Reichen J, Ammann RW, Tarr PE, Halkik N, Müllhaupt B. Alveolar echinococcosis: from a deadly disease to a well-controlled infection. Relative survival and economic analysis in Switzerland over the last 35 years. J Hepatol. 2008;49:72–7.PubMedCrossRefGoogle Scholar
- WHO. Guidelines for treatment of cystic and alveolar echinococcosis in humans. WHO Informal Working Group on Echinococcosis. Bull World Health Organ. 1996;74:231–42.Google Scholar