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Vertebral hydatidosis cyst: Not the most common location. A case report
Abdallah Bennasser1, Ahmed El Mostarchid1, Mehdi Oudrhiri Safiani1
1Department of Radiology, Specialty hospital, Rabat, Morocco.
Radiology Case Reports
|August 12, 2025
Summary
Hydatid cyst, caused by Echinococcus granulosus, can affect any organ. This case highlights a rare spinal cord compression due to a costovertebral hydatid cyst, successfully treated with surgery.
Area of Science:
- Medical Parasitology
- Neurosurgery
- Radiology
Background:
- Hydatid cyst disease is caused by Echinococcus granulosus, endemic in livestock-raising regions.
- Humans are accidental hosts, typically with liver or lung involvement.
- Atypical locations, including the spine, are uncommon but possible.
Observation:
- A 32-year-old female presented with back pain and progressive spinal cord compression.
- Imaging revealed a large, polycystic dorsal costovertebral mass.
- The mass measured 12 cm and exerted significant pressure on the spinal cord.
Findings:
- Surgical intervention via decompressive laminectomy was performed.
- The procedure relieved the spinal cord compression.
- Post-operative improvement in spasticity was observed.
Implications:
- This case underscores the importance of considering rare diagnoses like spinal hydatid cysts in cases of unexplained spinal cord compression.
- Early diagnosis and surgical management are crucial for favorable outcomes.
- Highlights the need for awareness of Echinococcus granulosus in endemic areas, even in atypical presentations.
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