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Transthoracic approach for ventrally situated paraspinal extradural hydatid cyst of the dorsal spine
Mohnish P Dighe1, Srikant Balasubramaniam1, Trimurti D Nadkarni1
1Department of Neurosurgery, BYL Nair Ch. Hospital and Topiwala National Medical College, Mumbai, Maharashtra, India.
Abstract:
A 40-year-old female presented with back pain without any neurological deficits. Radiological investigations revealed a ventrally situated paraspinal lesion causing widening of the right D4 neural foramen. She underwent a right posterolateral thoracotomy and excision of the lesion in toto, which was reported as a hydatid cyst on histology. Ventrally situated paraspinal extradural hydatid cysts are rare. A Transthoracic surgical exposure offers a direct approach for complete excision of the lesion, minimizing the chances of rupture and spillage.
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