Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Rehabilitation Education and Research Hospital, Ankara, Turkey.
Spine (Phila Pa 1976). 2010 Apr 20;35(9):E356-8. doi: 10.1097/BRS.0b013e3181cc004b.
Case report.
To report a case with paraplegia caused by spinal hydatid cyst.
Hydatid cyst is a disease caused by larval Echinococcus granulosus tapeworm. Spinal hydatid cyst rarely leads to severe neurologic problems.
A 34-year-old male patient was referred to our outpatient clinic due to back and low back pain, progressive weakness and numbness in both lower extremities, and a prediagnosis of lumbar disc hernia. He had spastic paraplegia, and thorax magnetic resonance imaging revealed a lobulated cystic lesion with extradural intraspinal localization.
After surgery and following 2 months of rehabilitation program, the patient showed a dramatic clinical improvement.
By this case, it is emphasized that spinal hydatid cyst should come to mind in the differential diagnosis of spinal cord compression, and the importance of prevention, early diagnosis, and treatment is highlighted because of high mortality and morbidity.
病例报告。
报告一例由脊髓包虫囊肿引起的截瘫病例。
包虫囊肿是由细粒棘球绦虫幼虫引起的疾病。脊髓包虫囊肿很少导致严重的神经问题。
一名 34 岁男性患者因腰背疼痛、双下肢进行性无力和麻木，被转诊至我院门诊，此前被诊断为腰椎间盘突出症。他有痉挛性截瘫，胸部磁共振成像显示有一个分叶状囊性病变，具有硬膜外椎管内定位。
手术后并经过 2 个月的康复计划，患者的临床症状明显改善。
通过本病例，强调在脊髓压迫症的鉴别诊断中应考虑脊髓包虫囊肿，并且由于高死亡率和发病率，强调预防、早期诊断和治疗的重要性。
