Case Report: Huge Dumbbell-Shaped Primary Hydatid Cyst Across the Intervertebral Foramen

Yu, Tian; Jiang, Mei; Shi, Xinzhi; Hao, Yue; Jiang, Lei

doi:10.3389/fneur.2020.592316

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…In mediastinal/paravertebral hydatid cysts the vertebral body can be scalloped or eroded and there could be widened neural foramen in cases with a spinal canal extension [19]. There have been less than 10 cases of mediastinal hydatid cysts with spinal canal extension reported [5,[19][20][21][22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Mediastinal dumbbell hydatid cyst compressing the thoracic spinal cord: A case report and literature review

Tadele,

Hussen,

Gebreegziabher

et al. 2024

Case Rep Int

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Introduction: Hydatid disease, or echinococcosis, is a parasitic infection of humans caused by tapeworms of the genus Echinococcus. The liver and lungs are the most common organs to be involved. Mediastinal and bone involvement were reported to be rare, 0.1% and 0.5–4%, respectively. Spine involvement has been reported in 50% of patients with bone involvement. Case Report: We presented a rare case of an 18-year-old male patient with a recurrent mediastinal hydatid cyst which widened the neural foramina, extended into the spinal canal, and compressed the spinal cord. He presented with back pain, spastic paraparesis, and bowel/bladder incontinence. Computed tomography (CT) and magnetic resonance imaging (MRI) showed polycystic mediastinal mass with erosion of the upper thoracic vertebra and the rib; widening of the neural foramina; extension into the spinal canal and compression of the spinal cord. The patient was operated on. Through a posterior approach, the polycystic mass was removed totally. The mass in the mediastinal (paravertebral) area was removed totally through the widened neural foramen. The cavity was washed with 3% hydrogen peroxide. The histopathology confirmed the diagnosis of a hydatid cyst. Postoperatively the patient was treated with oral albendazole for six months. On the sixth month follow-up, the neurologic status had only mild improvement and the follow-up scan did not show any recurrence of the infection. Conclusion: Hydatid cysts can rarely involve the mediastinal (paravertebral) area and can extend to the spinal epidural space causing neurologic compromise.

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Section: Discussionmentioning

confidence: 99%

Mediastinal dumbbell hydatid cyst compressing the thoracic spinal cord: A case report and literature review

Tadele,

Hussen,

Gebreegziabher

et al. 2024

Case Rep Int

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“…Ribs (Hans et al, 2019;Kassimi et al, 2021;Agnihotri et al, 2017) Resection of cyst lesion ABZ Recurred after 6 months Lumbar vertebra (Staouni et al, 2020;Tian et al, 2020) Resection of cyst lesion; washing with hydrogen peroxide and 5% hypertonic saline; spinal fusion and fixation ABZ (10-15 mg/kg/day, for at least 6 months)…”

Section: Surgerymentioning

confidence: 99%

Progress of research on the diagnosis and treatment of bone cystic echinococcosis

Meng,

Ren,

Xiao

et al. 2023

Front. Microbiol.

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Bone cystic echinococcosis (CE) is one of the most complex and dangerous of all echinococcoses. The lack of typical imaging features and clinical manifestations makes diagnosis and treatment of this disease difficult. X-ray and computed tomography (CT) images of bone CE are similar to those of bone cysts, giant-cell bone tumors, and bone metastases, but magnetic resonance imaging (MRI) shows good diagnostic value due to excellent soft-tissue imaging features. Serological tests cannot be used as a definitive diagnostic method for bone CE due to cross-reactivity, which can lead to false-positive or false-negative results. The development of novel antigens can open new frontiers in the diagnosis of the disease. Currently, views conflict on how to diagnose and treat bone CE. Both surgical and pharmacological treatments can be used, but determining which is appropriate is difficult due to the different sites and clinical manifestations of bone CE. Radical resection is not indicated for large-bone injuries, and Pharmacotherapy becomes important. This article reviews the progress of research into the pathogenesis and clinical manifestations of, and diagnostic strategies and treatment options for, bone CE. We aimed to provide a reference for clinical diagnosis and -treatment options.

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Spinal Hydatid Disease of Cervico-Thoracic in Pregnant Women: A Case Report and Review

Naumov

Vishnevskiĭ

Tkach

et al. 2021

Traumatology and Orthopedics of Russia

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Background. Spinal hydatid disease is an extremely rare pathology that could leads to the serious orthopedics and neurological complications. Conservative antimicrobial therapy is not effective for spinal echinococcus. This case is unique for the next reasons: disease manifestation during pregnancy, a long period from a spine decompression to a reconstruction procedure and a technique of the surgery. Case description. A 27 year-old lady at 34 gestation weeks, previously operated on the urgent indications of paraplegia with neurogenic bladder dysfunction after 1 year and 10 months follow-up suffered vertebral column reconstruction due to recurrence of the cervico-thoracic hydatid disease, complicated by angular kyphosis. The echinococcus cyst had a closed contact with a right brachiocephalica vein, compressed the spinal canal and leads to three-column spine instability. Conclusion. Three-column spine reconstruction with anterior corpectomy, cystectomy and fusion provide resolution of the back pain syndrome, improve neurological status and achieve local control of the infectious process in patients with echinococcosis of the spine. In the postoperative period, staged therapy with antiparasitic drugs should be prescribe.

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Case Report: Huge Dumbbell-Shaped Primary Hydatid Cyst Across the Intervertebral Foramen

Cited by 3 publications

References 19 publications

Mediastinal dumbbell hydatid cyst compressing the thoracic spinal cord: A case report and literature review

Mediastinal dumbbell hydatid cyst compressing the thoracic spinal cord: A case report and literature review

Progress of research on the diagnosis and treatment of bone cystic echinococcosis

Spinal Hydatid Disease of Cervico-Thoracic in Pregnant Women: A Case Report and Review

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