Benzagmout Mohammed, Kamaoui Imane, Chakour Khalid, Chaoui Mohamed E
Department of Neurosurgery, University Hospital Hassan II, Fez, Morocco. Tel. +212 (61) 297297. Fax. +212 (35) 944789. E-mail:
Neurosciences (Riyadh). 2009 Jan;14(1):81-3.
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.
脊柱硬膜外包虫囊肿极为罕见。我们报告一例33岁患者，其双下肢轻瘫超过2年，脐部水平感觉异常。CT扫描和MRI显示胸腔内多叶病变，可能起源于脊髓内。经胸外侧前路手术证实了观察到的病变为包虫性质，并实现了脊髓完全减压。未发现骨质受累。我们报告了一例经前路成功治疗的脊柱硬膜外包虫囊肿病例，并讨论了这种罕见的包虫囊肿定位的流行病学、诊断和治疗特点。
