Zhang Zhenhai, Fan Juan, Dang Yuanyuan, Xu Ruxiang, Shen Chunsen
Affiliated Bayi Brain Hospital, PLA Army General Hospital, Nanmencang, 5, Dongcheng, Beijing, 100700, China.
Eur Spine J. 2017 May;26(Suppl 1):107-110. doi: 10.1007/s00586-016-4896-3. Epub 2016 Nov 28.
Intramedullary hydatid cyst is extremely rare. We present a case of pathologically confirmed primary intramedullary hydatid cyst in an otherwise healthy patient. A 17-year-old boy presented with lumbar pain, weakness, and numbness in both lower limbs, and urinate difficulty interrupted for 2 years. The patient had no other signs of systemic hydatid cyst disease. An intramedullary cystic lesion was identified with magnetic resonance imaging and was shown to be a hydatid cyst by histopathologic examination after the surgical removal. Although extremely rare, primary intramedullary hydatid cyst pathology might be the cause of lumbar pain, weakness, and numbness in both lower limbs for those living in endemic areas. Surgical removement is feasible and effective for intramedullary hydatid cyst.
髓内包虫囊肿极为罕见。我们报告一例经病理证实的原发性髓内包虫囊肿病例，患者其他方面健康。一名17岁男孩出现腰痛、双下肢无力和麻木，排尿困难间断发作2年。该患者无其他全身包虫囊肿病迹象。通过磁共振成像发现髓内囊性病变，手术切除后经组织病理学检查显示为包虫囊肿。尽管极为罕见，但对于生活在流行地区的人来说，原发性髓内包虫囊肿病理可能是导致腰痛、双下肢无力和麻木的原因。手术切除对于髓内包虫囊肿是可行且有效的。
