Staouni Imane Benabdallah, Marzouki Zineb, Haloua Meryem, Lamrani Youssef Alaoui, Boubbou Meryem, Maâroufi Mustapha, Alami Badr-Eddine
Service de Radiologie, Centre Hospitalo-universitaire Hassan II, Fès, Maroc.
Pan Afr Med J. 2020 Jul 28;36:225. doi: 10.11604/pamj.2020.36.225.21606. eCollection 2020.
Hydatid disease is an anthropozoonosis caused by the larval stages of the genus Echinoccus granulosus in humans. It mainly occurs in subjects living in the rural and livestock areas in the Mediterranean basin, South America, Near and Middle East. Spinal hydatid disease is rare but it is the most severe form of bone hydatid disease. It mostly affects the dorsal spine, increasing the risk of spinal injury; hence its severity. We here report the case of a 60-year-old female patient admitted with progressive bilateral, poorly systematized, paralyzing lumbar radiculopathy associated with urinary urgency. MRI showed lumbar spinal hydatid disease infiltrating the intra and extra-ductal structures and compressing the roots of the horse tail. The patient underwent surgery through a posterior approach with favorable outcome.
包虫病是一种人畜共患病，由细粒棘球绦虫属幼虫阶段感染人类引起。它主要发生在地中海盆地、南美洲、近东和中东地区的农村和畜牧区居民中。脊柱包虫病罕见，但却是骨包虫病最严重的形式。它主要影响胸椎，增加了脊髓损伤的风险，因此病情严重。我们在此报告一例60岁女性患者，因进行性双侧、系统性差、导致瘫痪的腰椎神经根病伴尿急入院。磁共振成像显示腰椎包虫病侵犯椎管内和椎管外结构并压迫马尾神经。该患者接受了后路手术，效果良好。
