Primary spinal epidural hydatid cyst with intrathoracic extension.
Spinal epidural localization of hydatid cyst is quite rare. We report a case of a 33-year-old patient who experienced paraparesis over 2 years, with an umbilical sensitive level. A CT scan and MRI showed an intrathoracic multilobar lesion, probably of intra-spinal origin. An anterolateral transpleural surgical approach confirmed the hydatic character of the observed lesion and enabled total spinal cord decompression. No osseous involvement was noted. We report a case of spinal epidural hydatid cyst successfully managed by an anterior approach, and we discuss epidemiological, diagnosis, and therapeutical features of this rare localization of hydatid cyst.
Department of Neurosurgery, University Hospital Hassan II, Fez, Morocco. Tel. +212 (61) 297297. Fax. +212 (35) 944789. E-mail: benzagmout@hotmail.fr.
Mohammed
M
Benzagmout
Imane
I
Kamaoui
Khalid
K
Chakour
Mohamed E
ME
Chaoui