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Case Reports
. 2007;30(3):297-300.

Primary spinal intradural extramedullary hydatid cyst in a child

Affiliations
Case Reports

Primary spinal intradural extramedullary hydatid cyst in a child

Erdal Kalkan et al. J Spinal Cord Med. 2007.

Abstract

Background/objective: Spinal hydatid cyst is a serious form of hydatid disease affecting less than 1% of the total cases of hydatid disease. We present a case of pathologically confirmed primary intradural spinal cyst hydatid in an otherwise healthy patient who showed no other evidence of systemic hydatid cyst disease.

Case report: An 8-year-old boy presented with back pain, left leg pain, and difficulty in walking. The patient had no other signs of systemic hydatid cyst disease. An intradural extramedullary cystic lesion was identified with magnetic resonance imaging and was shown to be a hydatid cyst by histopathologic examination after the surgical removal.

Conclusion: Although extremely rare, primary intradural extramedullary hydatid cyst pathology might be the cause of leg pain and gait disturbance in children living in endemic areas.

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Figures

Figure 1
Figure 1. Sagittal contrast-enhanced T1-weighted MRI shows there is no contrast enhancement and cord is compressed anteriorly.
Figure 4
Figure 4. Histopathologic appearance of cystic material.
Figure 5
Figure 5. Long-term follow-up sagittal T1-weighted MRI at 1 year shows a small relapse of cystic lesion, which is located intradural and extramedullary at the T7–T8 level.
Figure 2
Figure 2. Sagittal T2-weighted MRI shows spinal cystic lesion that is almost isodense with cerebrospinal fluid, causing intradural extension and spinal cord compression.
Figure 3
Figure 3. T2-weighted axial MRI shows an intradural extramedullary multiseptate cystic lesion.

References

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