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原发性脊椎-髓内及硬膜外包虫病导致髓质受压的罕见病因影像学表现:影像学的作用

Iconographies of rare causes of medullary compression due to primary vertebro-medullary and epidural hydatidosis: Contribution of imaging.

作者信息

Bahlouli Nourrelhouda, Imrani Kaouthar, Chait Fatima, Houssaini Adam Sqalli, Kaouthar Sfar, Lahlou Ihssane, Nabil Moatassimbillah, Nassar Ittimad

机构信息

Department of Radiology, Ibn Sina Hospital, Mohammed V university, Faculty of Medicine and Pharmacy, Rabat, Morocco.

出版信息

Radiol Case Rep. 2025 Jul 26;20(10):5178-5183. doi: 10.1016/j.radcr.2025.06.063. eCollection 2025 Oct.

DOI:10.1016/j.radcr.2025.06.063
PMID:40761275
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12320025/
Abstract

Vertebro-medullary and epidural hydatidosis are a very rare entity, representing 2% of all locations, and is even rarer when it involves a solitary location. It is often asymptomatic. The diagnosis is usually made during complications, particularly medullary compression or extension to the costal cage, which represents a therapeutic emergency. Surgical treatment must be radical to prevent recurrences. We report 2 cases: the first case was a 61-year-old female involved costo-vertebral hydatidosis, and the second was an 18-year-old man with primary sacral epidural location. The objective of our report is to add these 2 atypical locations of hydatid cysts to the existing literature and to present their radiological images to aid radiologists in diagnosis.

摘要

脊椎-髓内和硬膜外包虫病是一种非常罕见的疾病,占所有发病部位的2%,当它累及单一部位时更为罕见。它通常无症状。诊断通常在出现并发症时做出,特别是髓内压迫或向胸廓扩展,这是一种治疗急症。手术治疗必须彻底以防止复发。我们报告2例:第一例是一名61岁女性,患有肋-椎包虫病,第二例是一名18岁男性,原发性骶部硬膜外发病。我们报告的目的是将这2个包虫囊肿的非典型发病部位补充到现有文献中,并展示其放射影像以帮助放射科医生进行诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9148/12320025/5811f9f9cc5c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9148/12320025/86d83b1ae1b9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9148/12320025/09d3c9595b8a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9148/12320025/28a1da853cdb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9148/12320025/5811f9f9cc5c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9148/12320025/86d83b1ae1b9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9148/12320025/09d3c9595b8a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9148/12320025/28a1da853cdb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9148/12320025/5811f9f9cc5c/gr4.jpg

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本文引用的文献

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Magnetic resonance imaging features and classification of intraspinal echinococcosis.脊柱棘球蚴病的磁共振成像特征及分类
J Orthop. 2024 Apr 23;55:157-162. doi: 10.1016/j.jor.2024.04.014. eCollection 2024 Sep.
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Primary Sacral Hydatid Cyst Mimicking a Neurogenic Tumor in Chronic Low Back Pain: Case Report and Review of the Literature.原发性骶骨包虫囊肿酷似慢性下腰痛的神经源性肿瘤:病例报告及文献复习
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