Isolated primary spinal epidural hydatid cyst in a child with progressive paraparesis
Samuel Berchi Kankam1, Ghazaleh Kheiri1, Moeinadin Safavi2
1Department of Pediatric Neurosurgery, Children's Medical Center, Tehran University of Medical Sciences, Tehran, 1419733151, Iran.
Insights
Primary spinal hydatid cysts are rare but serious causes of spinal cord compression. Surgical intervention is crucial for managing this condition and preventing neurological deficits.
Area of Science:
- Neurosurgery
- Parasitology
- Radiology
Background:
- Primary spinal hydatid cyst is a rare condition, affecting approximately 1% of patients with hydatid disease.
- It can lead to severe spinal cord compression and neurological deficits.
Background:
Primary spinal hydatid cyst is a rare but serious condition which occurs in about 1% of patients with hydatid disease. This disease may result in severe spinal cord compression presenting with various neurological deficits.
Case Report:
A 3-year-old boy was referred to our center with progressive weakness of lower limbs, frequency, and urinary incontinence. His parents did not report back pain during child's illness. Lumbar magnetic resonance imaging (MRI) revealed an extradural well-defined thin-walled cystic lesion at L4 to S3 vertebral levels without enhancement. The cyst had compressed the thecal sac associated with bone scalloping of vertebral bodies and posterior elements. Osteoplastic laminectomy of L4-L5 and laminectomy of S1-S3 was done. Intraoperative and histopathological findings indicated an epidural hydatid cyst.
Conclusion:
Although spinal hydatid cysts are rare but might be considered in the differential diagnosis of any patient with signs and symptoms of spinal cord compression. The pathophysiology, clinical manifestations, epidemiology, diagnosis, and surgical treatment of extradural hydatid cyst are discussed.
