{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:19:27Z","timestamp":1761823167901},"reference-count":16,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1999,10]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Although rare, spinal hydatid disease is a manifestation of hydatid infestation. The authors present the report of a patient who presented with primary spinal hydatid disease. This disease is often misdiagnosed as tuberculous spondylitis, and thus patients may subsequently receive inappropriate treatment.<\/jats:p>\n<jats:p content-type=\"fine-print\">The patient in this case presented, with an increasing weakness in the lower limbs, to a different clinic from an area in India where hydatid infections are endemic. The infection was misdiagnosed as tuberculous spondolytis based on evaluation of plain x-ray films, and the patient underwent antituberculous chemotherapy and a posterior surgical decompressive procedure.<\/jats:p>\n<jats:p content-type=\"fine-print\">The patient presented to the authors' clinic with increasing paraparesis 1.5 years later. Radiographs and a magnetic resonance image of the spine were obtained, which strongly suggested hydatid disease. Examination of serum levels confirmed the diagnosis. The patient underwent a decompressive procedure of the spine in which stabilization was performed. Postoperatively her paraparesis resolved, and good control over the disease was achieved by chemotherapy.<\/jats:p>\n<jats:p content-type=\"fine-print\">The authors conclude that primary spinal hydatid disease of the spine, although a rare manifestation, should be considered in the differential diagnosis in patients with infectious and destructive lesions of the spine in regions in which the disease is endemic. Advanced imaging studies should be performed to diagnose the disease. Early decompressive surgery with stabilization of the spine, in addition to adjuvant chemotherapy, is the treatment of choice for these patients.<\/jats:p>","DOI":"10.3171\/spi.1999.91.2.0216","type":"journal-article","created":{"date-parts":[[2009,5,7]],"date-time":"2009-05-07T15:45:16Z","timestamp":1241711116000},"page":"216-218","source":"Crossref","is-referenced-by-count":13,"title":["Primary hydatid disease of the spine: an unusual cause of progressive paraplegia"],"prefix":"10.3171","volume":"91","author":[{"given":"Shekhar Y.","family":"Bhojraj","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nitin R.","family":"Shetty","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Paraplegia","first-page":"292","article-title":"Preoperative embolisation, transpedicular decompression and posterior stabilisation for metastatic disease of the thoracic spine causing paraplegia.","volume":"30","author":"Bhojraj","year":"1992"},{"key":"b2","series-title":"Spine","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1097\/00007632-198801000-00011","article-title":"Echinococcal infection of the spine with neural involvement.","volume":"13","author":"Charles","year":"1988"},{"key":"b3","series-title":"Parasitology in Relation to Clinical Medicine.","first-page":"122","author":"Chaterjee","year":"1973"},{"key":"b4","series-title":"Lancet","doi-asserted-by":"publisher","first-page":"1269","DOI":"10.1016\/0140-6736(93)92361-V","article-title":"Randomised controlled trial of efficacy of albendazole in intra-abdominal Hydatid disease.","volume":"342","author":"Gil-Grande","year":"1993"},{"key":"b5","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1227\/00006123-199109000-00026","article-title":"Spinal invasion of pulmonary hydatidosis: computed tomographic demonstration.","volume":"29","author":"Iplih\u00e7iogl\u016d","year":"1991"},{"key":"b6","series-title":"Spinal Cord","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1038\/sj.sc.3100512","article-title":"Spinal hydatid disease.","volume":"36","author":"Islekel","year":"1998"},{"key":"b7","series-title":"J Bone Joint Surg (Br)","first-page":"84","article-title":"Vertebral hydatidosis and paraplegia.","volume":"72","author":"Karray","year":"1990"},{"key":"b8","series-title":"Spine","doi-asserted-by":"publisher","first-page":"2050","DOI":"10.1097\/00007632-199709010-00023","article-title":"Medical decompression of vertebral hydatidosis.","volume":"22","author":"Lam","year":"1997"},{"key":"b9","series-title":"Clin Orthop","first-page":"164","article-title":"Echinococcal infestation of the spine in North America.","volume":"271","author":"Rao","year":"1991"},{"key":"b10","series-title":"Neurochirurgie","first-page":"281","article-title":"[Hydatid cyst of the spine and spinal cord. Study of 24 cases].","volume":"42","author":"Sami","year":"1996"},{"key":"b11","series-title":"Acta Orthop Scand","doi-asserted-by":"publisher","first-page":"89","DOI":"10.3109\/17453679809002364","article-title":"Hydatid disease of bones and joints.","volume":"69","author":"Sapkas","year":"1998"},{"key":"b12","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1097\/00006123-199308000-00023","article-title":"Primary spinal extradural hydatid disease: report of a case with magnetic resonance characteristics and pathological correlation.","volume":"33","author":"Tekkok","year":"1993"},{"key":"b13","series-title":"Eur Radiol","doi-asserted-by":"publisher","first-page":"1207","DOI":"10.1007\/s003300050275","article-title":"CT and MRI in vertebral hydatid disease.","volume":"7","author":"Tsitouridis","year":"1997"},{"key":"b14","series-title":"Infection","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1007\/BF01713148","article-title":"Hydatid disease of the spine: A survey study from Turkey.","volume":"25","author":"Turgut","year":"1997"},{"key":"b15","series-title":"Skeletal Radiol","first-page":"220","article-title":"Case report 833. Primary spinal echinococcosis (Echinococcus granulosus) of lumbosacral spine with destruction of the left pedicles of L3\u20135 and extension of a large paraspinal cystic mass into the spinal canal.","volume":"23","author":"von Sinner","year":"1994"},{"key":"b16","series-title":"Acta Radiol","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1177\/028418519503600212","article-title":"Fine needle aspiration biopsy of hydatid cysts","volume":"36","author":"von Sinner","year":"1995"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/91\/2\/article-p216.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/91\/2\/article-p216.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/91\/2\/article-p216.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,16]],"date-time":"2023-04-16T00:39:14Z","timestamp":1681605554000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/91\/2\/article-p216.xml"}},"subtitle":["Case report and review of literature"],"short-title":[],"issued":{"date-parts":[[1999,10]]},"references-count":16,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/spi.1999.91.2.0216","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[1999,10]]}}}