Hydatid Cyst of the Spine: A Rare Case Report (original) (raw)
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Hydatid Cyst of Thoracic Spine: A Rare Cause of Paraplegia
International Journal of Science and Research (IJSR)
Primary spinal hydatid cysts are uncommon and extradural involvement is rare. We report an unusual case of Paraplegia due to hydatid disease of primary site of infection extra spinal muscles in thoracic region from T5 to T8 level extending into a daughter cyst at T9 level, is main cause of acute Paraplegia. Magnetic resonance imaging (MRI) showed an extradural round cystic lesion in the spinal canal filling the posterior and left postero-lateral expect at T9 level, markedly compressing the cord. The cyst was removed after laminectomy and opening of the dural sac, with excision of extraspinal mass in left paravertebral region from T5 to T8 level. Histopathological examination confirmed a diagnosis of hydatid cyst. Early decompression surgery of the spine with chemotherapy is the treatment of choice for the disease.
Spinal Hydatid Cyst: Case Report with Review of Literature
Spinal hydatid cyst is a rare and a serious manifestation of the parasite Echinococcus, involving less than 1% patients with hydatid disease. Intraduralhydatid cysts are extremely rare compared to other types of spinal hydatid cysts. We report a case of a 28-yr-old female who presented with history of dorsal backache and stiffness since last 3 months with progressive increasing in severity. Clinical examination revealed tenderness of upper dorsal spine on palpation, with mild lower motor neuron type weakness of both lower limbs. A plain radiograph and MRI of the dorsal spine was advised and a provisional diagnosis of spinal hydatid cyst was given which was confirmed per-operatively. A better understanding of this rare but clinically challenging disease is intended by reporting this case.
A Hydatid Cyst of the Lumbar Spine: A Rare Cause of Paraplegia
Shafa Orthopedic Journal
Introduction: Hydatid cyst is a zoonotic disease, affecting humans and other mammals worldwide. It is caused by tapeworms of the genus Echinococcus, which is most frequently encountered in the liver and lungs. Although involvement of the central nervous system and spine is rare, it can lead to severe neurological deficits due to direct compression. Case Presentation: We report a case of intradural extramedullary hydatid cyst in the lumbar region with a sudden onset, causing progressive paraplegia and areflexia over the past 20 days. After surgical removal, the cyst was sent for histopathological examination. The results showed inner laminated membranes and an outer fibrous layer, surrounded by foreign-body giant cells. The primary objective during surgery was to avoid perforation of the cyst, thereby reducing the risk of systemic dissemination and local seeding of the parasite. During the postoperative period, there was a steady improvement in the neurological deficit, and the patient was discharged with anthelmintics to prevent any distant dissemination. Conclusions: An accurate and precise diagnosis is necessary when dealing with cystic pathologies.
Hydatid Cyst of the Spine: A Rare Case Report and Review of Literature
Journal of Orthopaedic Case Reports, 2020
Introduction: Hydatid disease is caused by the parasite Echinococcus granulosus which is also known as the dog tapeworm. This disease is a relatively uncommon cause of spinal cord and dural compression. Case Report: We came across a peculiar case in a 41-year-old male patient who presented to us with pus discharge from a surgical wound over lower back for 10 days. The patient was a diagnosed as a case of lumbar canal stenosis with recurrent hydatid cyst. The patient had neurological involvement in the form of left-sided foot drop. The patient gave a history of lumbar canal stenosis secondary to hydatid cyst, for which decompression and cyst excision were done 3 years prior. The patient was re-operated in the form of wound debridement with removal of hydatid cyst. Conclusion: Meticulous surgery avoiding spillage of cyst material, appropriate medication as advised by the infectious disease specialist, will avoid recurrence of the disease.
Paraplegia Associated With Spinal Hydatid Cyst
Spine, 2010
Study Design. Case report. Objectives. To report a case with paraplegia caused by spinal hydatid cyst. Summary of Background Data. Hydatid cyst is a disease caused by larval Echinococcus granulosus tapeworm. Spinal hydatid cyst rarely leads to severe neurologic problems. Methods. A 34-year-old male patient was referred to our outpatient clinic due to back and low back pain, progressive weakness and numbness in both lower extremities, and a prediagnosis of lumbar disc hernia. He had spastic paraplegia, and thorax magnetic resonance imaging revealed a lobulated cystic lesion with extradural intraspinal localization. Results. After surgery and following 2 months of rehabilitation program, the patient showed a dramatic clinical improvement. Conclusion. By this case, it is emphasized that spinal hydatid cyst should come to mind in the differential diagnosis of spinal cord compression, and the importance of prevention, early diagnosis, and treatment is highlighted because of high mortality and morbidity.
Spinal Cord, 1998
Vertebral hydatid cysts are rare and found in less than 1% of all the cases of hydatidosis. Neural compression is common in vertebral hydatidosis. The prognosis is generally regarded as very poor. This paper examines the natural history and complications which may arise during the treatment of vertebral hydatid cyst, and discusses their treatment. Thirteen cases of hydatid disease aecting the vertebrae are presented. The patients were admitted with symptoms of spinal cord compression. Twelve were treated by laminectomy and one by costotransversectomy. Low back pain radiating to the legs and lower extremity weakness were the predominant symptoms. Dierent degrees of pareses were present in 12 patients. Nine patients had impaired sensation in lower extremities. In 13 patients, 27 operations were performed. The major complication of surgery was the death of one patient due to the formaline irrigation. The surgical goal should be an extensive removal of the cysts and aected bone. The surgical area needs to be irrigated with hypertonic saline. Mebendazole or albendazole therapy seems to retard the recurrences and control the disease.
Vertebral hydatid cyst infection. A case report
Hydatidosis is a common parasitic zoonosis in Middle Eastern, African, and Mediterranean populations whit primarily and well known involve of liver and lungs, but some complications are extremely rare and underrated. Particularly Hydatid cystic disease of the skeletal is one of the rarest clinical manifestations and when occurs involve in almost 50% of cases the spine. This manifestation is extremely debilitating, hard to correctly identify and manage. We want to underline this rare involve of spine to avoid misdiagnosis and complications.
Paraplegia due to recurrent multiple hydatid cyst of the spine: A case report
Indian journal of orthopaedics, 2008
Recurrence after surgical treatment of hydatid cyst of the spine is extremely common. Preexisting fibrosis, fragility of the cyst wall, confluent cysts and proximity to vital structures makes radical excision difficult and repeated recurrences are inevitable. This case report describes a recurrent hydatid cyst presenting as three separate cysts in the dorsal spine in a middle-aged male. The extradural cyst caused paraplegia. The extraspinal cyst presented as an extrapleural mass in relation with the eighth, ninth and the tenth ribs near the costo-vertebral junction. The three cysts were resected en masse. Complete neurological recovery occurred with no recurrence at four years follow-up. Resection of the hydatid cyst en masse offers the best chance of cure and must be attempted in all cases. A prolonged chemotherapy should be administered in all cases.
Hydatid Disease of the Lumbar Spine
Neurosurgery Quarterly, 2015
Hydatid cyst is a rare infection of the spinal column. We report a 58-year-old male patient with low back pain and urine incontinency. The patient was operated because of extradural lesion with compression effect. The final diagnosis was pure primary hydatid infection.