Intradural extramedullary primary hydatid cyst of the spine

A case report and review of literature

Iraj Lotfinia, Sima Sayyahmelli, Ata Mahdkhah, Mohammadali Mohajel Shoja

Research output: Contribution to journalReview article

9 Citations (Scopus)

Abstract

Primary intradural extramedullary hydatid cyst is a rare form of parasitic infection, causing focal neurological signs, commonly observed in sheep-raising areas of the world. We report a rare case of intradural, extramedullary spinal cyst, which we had misdiagnosis in the first surgery, because of rarity of the case. A 55-year-old man presented to our hospital in August 2008. He was admitted to our clinic because of lumbar pain of increasing severity and progressive difficulty with walking and stiffness of both lower limbs, which had lasted for 1 month. On the basis of imaging results, arachnoid cyst of the lumbar spine was diagnosed. Due to rapid progression of the patient's symptoms toward spastic paraplegia, he underwent an emergency surgical decompression procedure. The patient underwent exploratory surgery using a posterior approach. A L1-L2 laminectomy was performed. After opening the dura, an intradural extramedullary cystic mass was determined. The surgical specimen measured 6 9 2 cm and was described as a whitish, pearl-like, semitranslucent, cystic material, which was thought to be parasitic. Surgery has to be followed by albendazole therapy.

Original languageEnglish (US)
JournalEuropean Spine Journal
Volume22
Issue numberSUPPL.3
DOIs
StatePublished - May 1 2013
Externally publishedYes

Fingerprint

Echinococcosis
Spine
Mobility Limitation
Arachnoid Cysts
Surgical Decompression
Albendazole
Parasitic Diseases
Laminectomy
Paraplegia
Diagnostic Errors
Cysts
Lower Extremity
Sheep
Emergencies
Pain
Therapeutics

Keywords

  • Echinococcus granulosus
  • Hydatid cyst
  • MRI
  • Spine
  • Surgery

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Intradural extramedullary primary hydatid cyst of the spine : A case report and review of literature. / Lotfinia, Iraj; Sayyahmelli, Sima; Mahdkhah, Ata; Mohajel Shoja, Mohammadali.

In: European Spine Journal, Vol. 22, No. SUPPL.3, 01.05.2013.

Research output: Contribution to journalReview article

Lotfinia, Iraj ; Sayyahmelli, Sima ; Mahdkhah, Ata ; Mohajel Shoja, Mohammadali. / Intradural extramedullary primary hydatid cyst of the spine : A case report and review of literature. In: European Spine Journal. 2013 ; Vol. 22, No. SUPPL.3.
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