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Year : 2021  |  Volume : 69  |  Issue : 6  |  Page : 1631--1632

Primary Multilocular Extradural Spinal Hydatid Cyst

Pragya Chaturvedi1, Srishti Sharma1, Ashish Dwivedi2, Kunjan Kumar3,  
1 Department of Radio Diagnosis, SGPGIMS, Lucknow, India
2 Department of Anesthesia, PGI, Chandigarh, India
3 Department of Urology, RG KAR, Kolkata, India

Correspondence Address:
Dr. Pragya Chaturvedi
Senior Resident, Department of Radio Diagnosis, SGPGIMS, Lucknow - 226014
India




How to cite this article:
Chaturvedi P, Sharma S, Dwivedi A, Kumar K. Primary Multilocular Extradural Spinal Hydatid Cyst.Neurol India 2021;69:1631-1632


How to cite this URL:
Chaturvedi P, Sharma S, Dwivedi A, Kumar K. Primary Multilocular Extradural Spinal Hydatid Cyst. Neurol India [serial online] 2021 [cited 2022 May 19 ];69:1631-1632
Available from: https://www.neurologyindia.com/text.asp?2021/69/6/1631/333517


Full Text



A 55-year-old male presented with back pain and gradually increasing weakness in lower limbs for 2 months and diminished sensations below umbilicus for 15 days. Motor examination revealed reduced power (2/5) with spasticity in lower limbs. Deep tendon reflexes were brisk and extensor plantar response was present. On the basis of clinical examination, extradural compressive dorsal myelopathy was suspected. Magnetic resonance imaging (MRI) revealed a multicystic T1 hypointense [Figure 1] and T2 hyperintense [Figure 2] extradural lesions at D10 with a bunch of daughter cysts. The lesion was extending into the posterior epidural and right paraspinal space with the involvement of D10 vertebral body. Compression over the adjacent spinal cord was seen without altered signal intensity. On imaging, differentials were hydatid cyst of spine and aneurysmal bone cyst. The patient was operated and pathological examination revealed echinococcosis. Ultrasonography (USG) and Computed tomography (CT) revealed no other hydatid cysts in the body.{Figure 1}{Figure 2}

Spinal hydatid cysts account for 1% of all cases.[1] It is a severe disease with significant morbidity.[2] The treatment of choice is surgical management using anterior or posterior approaches. Extensive bone resection with stabilization and grafting decreases recurrence and slows progression rate. Historically, simple decompression by laminectomy was the most commonly utilized procedure. Pharmacological intervention using albendazole slows progression and can be used in conjunction with surgery.[3]

Financial Support and Sponsorship

Nil.

Conflicts of Interest

There are no conflicts of interest.

References

1Kahilogullari G, Tuna H, Aydin Z, Colpan E, Egemen N. Primary intradural extramedullary hydatid cyst. Am J Med Sci 2005;329:202-4.
2Cavus G, Acik V, Bilgin E, Gezercan Y, Okten AI. Endless story of a spinal column hydatid cyst disease: A case report. Acta Orthop Traumatol Turc 2018;52:397-403.
3Lam KS, Faraj A, Mulholland RC, Finch RG. Medical decompression of vertebral hydatidosis. Spine (Phila Pa 1976) 1997;22:2050-5.