Percutaneous treatment of spinal cord compression due to recurrent vertebral hydatid disease
DOI:
https://doi.org/10.32818/reccmi.a8n3a8Keywords:
echinococcosis, spinal compression, vertebral hidatidosis, percutaneous treatmentAbstract
Primary bone involvement is uncommon in the hydatid disease and its diagnosis is difficult due to the non-specific nature of the symptoms. We showcase a 78-year-old woman who underwent surgery twice 11 years ago for a T10-T12 hydatid cyst (T7-L3 arthrodesis), and who got referred for back pain and neurological symptoms of progressive paraparesis in lower limbs over 2 months of evolution. The MRI identified occupation of the epidural space by a polycystic lesion, which caused severe spinal cord compression. Given the high surgical risk, puncture, evacuation and sclerosis of hydatic cysts guided by CT-fluoroscopy were performed, with the consequent disappearance of neurological symptoms.
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Copyright (c) 2023 Maritza Daniela Díaz-Carlotti, Manuel Cifrián-Pérez
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