Hydatid disease of the spine

Sardhara

et al. 2016

J Craniovert Jun Spine

This study aims to focus on a rare presentation of spinal hydatid cyst as cauda equine syndrome and misdiagnosed as intradural extramedullary (IDEM) benign lesion on magnetic resonance imaging. In this article, we report a case of spinal hydatid cyst masquerading as IDEM tumor, and intraoperatively, we accidently find clumped granuloma with severe arachnoiditis and hydatid cyst in lumber region, which was present as bilateral S1 radiculopathy with cauda equina syndrome. An 11-year-old boy who presented with symptoms and signs of cauda equina syndrome and planned for surgical excision. His radiological impression was IDEM possibly neurofibroma. To our surprise, we found multiple intradural cystic lesions with arachnoiditis. Dissecting in plane cyst was flushed out, and surgical cavity was irrigated with 3% saline. Postoperatively histopathology and serum tests confirmed the diagnosis of hydatid cyst. Hydatid disease is rare cause of cauda equine syndrome which can be miss diagnosed on radiological investigations. A high index of suspicion should be kept especially in a young patient from the Indian subcontinent.

Section: Discussionmentioning

confidence: 99%

Spinal intradural hydatid cyst causing arachnoiditis: A rare etiology of cauda equina syndrome

Sardhara

et al. 2016

J Craniovert Jun Spine

“…The cyst had a thin inner germinal membrane, supported on a thick, laminated membrane and an outer fibrous pericyst. In the latter, there were localized areas of stromal mineralization and moderate inflammatory infiltrates, predominantly lymphocytes, with some eosino-humans where ataxia caused by hydatid cysts have been reported 1,3,15,18 . This is the first case of a spinal hydatid cyst (Echinococcus equinus) reported in the horse.…”

Section: Histopathologymentioning

confidence: 99%

Extradural spinal hydatid cyst causing hindlimb ataxia in a horse

Peter

Marr

Foote

et al. 2018

SAT

This case report describes a 13-year-old cob-cross gelding presented for evaluation of recent onset hindlimb ataxia. The gelding had undergone general anaesthesia and tenoscopy of the right hindlimb digital flexor tendon sheath at a nearby clinic three months earlier and had appeared normal at routine post-operative assessments until the sudden onset of neurological deficits. Spinal trauma was suspected initially but radiography and scintigraphy were unremarkable. Due to the severity and progressive nature of the clinical signs the gelding was subjected to euthanasia. Post mortem examinations (computed tomography, dissection and histopathology) revealed spinal cord compression caused by a single extradural hydatid cyst (Echinococcus equinus), confirmed with PCR, at the level of the 15 th thoracic vertebra. This is the first report of a spinal hydatid cyst causing hindlimb ataxia and should therefore be considered a potential differential diagnosis for ataxia in the equine patient.

“…4,5 General disease symptoms are radiculopathy, myelopathy, and local pain resulting in destructive bony lesions, pathological fracture, and consequential cord compression. 6 Preoperative evaluation is necessary because the rupture and spreading of the cyst may result in anaphylaxis and recurrence. 4 Case Report A male 44 years old (80 kg, 174 cm) was admitted to the neurosurgery ward with complaints of recurrent spinal cords hydatid cyst.…”

Section: Introductionmentioning

confidence: 99%

Anesthetic Management in a Patient With Surgical Excision of Spinal Cords Hydatid Cyst: A Case Report

Behnaz

Saeedi

Seddighi

2019

Int Clin Neurosci J

Echinococcosis granulosus is the leading cause of spinal hydatid disease. Hydatidosis of the bone happens in 0.5%-3% of all the cases: the involvement in the vertebral column is 50%. In the endemic areas, one of the common causes of spinal cord compression is hydatid disease, and the diagnosis may remain obscure until specifying symptoms ensuing from complications due to root and cord compression. We present a case of recurrent spinal cords hydatid cyst in a 44 years old patient because it occurs rarely, and anesthetic management in such cases has never evaluated before.