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Posterior mediastinal paravertebral hydatid cyst presenting as spinal compression. A case report
P Ranganadham1, I Dinakar, C Sundaram
1Department of Neurosurgery & Pathology, Nizam's Institute of Medical Sciences, Hyderabad, India.
Clinical Neurology and Neurosurgery
|January 1, 1990
Summary
A rare posterior mediastinal hydatid cyst caused spinal compression and paraplegia. Surgical removal followed by Albendazole therapy led to neurological recovery and prevented recurrence.
Area of Science:
- Medicine
- Parasitology
- Neurology
Background:
- Posterior mediastinal hydatid cysts are uncommon, rarely causing spinal compression.
- Spinal compression syndrome due to mediastinal cysts requires prompt diagnosis and management.
Observation:
- A 35-year-old female presented with progressive paraplegia.
- Imaging revealed a primary posterior mediastinal hydatid cyst.
Findings:
- Surgical excision of the hydatid cyst was performed.
- Systemic Albendazole therapy was initiated post-operatively.
- The patient demonstrated significant neurological recovery.
Implications:
- This case highlights the importance of considering hydatid cysts in the differential diagnosis of posterior mediastinal masses.
- Albendazole therapy plays a crucial role in preventing recurrence of hydatid disease.
- Successful management involves a multidisciplinary approach combining surgery and antiparasitic treatment.