Spinal hydatidosis mimicking Guillain Barre syndrome: in case of doubt there is no rush to perform lumbar puncture.
Guillain Barre Syndrome (GBS) is a challenging pathology which diagnosis is based essentially on the clinical examination and the results of lumbar puncture. Differential diagnosis must be discussed if the clinical picture is not complete. We present the case of a patient who presented to the emergency department with symptoms evoking both GBS and spinal cord compression. The Radiology showed a diffused spinal hydatidosis. The lumbar puncture must be carefully considered. In this case, it would have exposed the patient to hydatid dissemination.
Emergency Department, Mohammed V Military Hospital of Instruction, Faculty of Medicine and Pharmacy, Rabat, Morocco.
Ahmed
A
Belkouch
Department of Radiology, Avicenna Military Hospital, Faculty of Medicine and Pharmacy, Marrakech, Morocco.
Abdelilah
A
Mouhsine
Emergency Department, Mohammed V Military Hospital of Instruction, Faculty of Medicine and Pharmacy, Rabat, Morocco.
Rachid
R
Sirbou
Emergency Department, Mohammed V Military Hospital of Instruction, Faculty of Medicine and Pharmacy, Rabat, Morocco.
Saad
S
Zidouh
Emergency Department, Mohammed V Military Hospital of Instruction, Faculty of Medicine and Pharmacy, Rabat, Morocco.
Taoufik
T
Bakkali
Department of Radiology, Avicenna Military Hospital, Faculty of Medicine and Pharmacy, Marrakech, Morocco.
Abdelghani
A
El Fikri
Emergency Department, Mohammed V Military Hospital of Instruction, Faculty of Medicine and Pharmacy, Rabat, Morocco.
Lahcen
L
Belyamani
D000328:Adult; D003937:Diagnosis, Differential; D004443:Echinococcosis / Q000175:diagnosis*; D004444:Echinococcosis, Hepatic / Q000175:diagnosis; D005260:Female; D020275:Guillain-Barre Syndrome / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000469:parasitology; D013122:Spinal Diseases / Q000175:diagnosis* / Q000469:parasitology*; D013129:Spinal Puncture / Q000706:statistics & numerical data*
Guillain Barre Syndrome; lumbar puncture; spinal hydatidosis