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PRIMARY INTRAMEDULLARY HYDATID CYST IN CERVICAL SPINE: A RARE CASE REPORT
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Abstract
Hydatid cyst is a parasitic disease caused by tapeworms, mainly Echinococcus Granulus. It is rare in Western Europe and North America but common in countries with poor sanitation. Hydatid cysts of the spine account for only about 1% of all hydatid cysts. We report a case of a 38-year-old male with a diagnosis of intramedullary hydatid cyst at C7. He presented with near-complete paraplegia and urinary retention. Cervical spine MRI showed an ovoid, well-defined contrast-enhancing lesion at the C7 level. The patient underwent posterior decompression, complete resection of the cyst, and pathological examination. The pathology confirmed the diagnosis of hydatid cyst (Echinococcus cysticercosis). After surgery, the patient's urinary retention improved, sensation in his legs returned, leg strength improved, and neck pain and stiffness decreased. The patient was discharged from the hospital and continued to take Albendazole for 3 months. Follow-up at 1 year showed near-complete recovery of motor and sensory function in his legs, urinary continence, and no evidence of recurrent hydatid cyst. Intramedullary hydatid cyst of the cervical spine is rare, symptoms are nonspecific, and recurrence is common
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Keywords
Intramedullary hydatid cyst, spinal cord compression, hydatid disease
References
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