Recurrent Primary Spinal Cyst Hydatid

Year 2015, , 84 - 89, 09.10.2015

Okan Türk Nuriye Özdemir İbrahim Atcı Salim Katar Hakan Yılmaz , Veysel Antar Mehmet Yaman Ersal Karakaş

https://doi.org/10.17826/cutf.00860

Abstract

Primary hydatid disease of spine is rare and spinal hydatitosis constitute only 1% of all hydatitosis. We report a case of recurrent primary intraspinal extradural hydatid cyst of the thoracic region causing progressive paraparesis. The patient was operated 16 years ago for primary spinal hydatid disease involvement and was instrumented dorsally for stabilization. The magnetic resonance imaging (MRI) of thoracic spine showed a cystic lesion at T11-12 level and compressed spinal cord posterolaterally. Intraspinal cyst was excised through T11-12 laminectomy which made formerly. The early postoperative period showed a progressive improvement of his neurological deficit and he was discharged with antihelmintic treatment consisting of albendazole and amoxicillin-sulbactam combination.

Keywords

Cyst hydatid, recurrence, thoracic spine

Rekürren Primer Spinal Kist Hidatik

Abstract

Omuriliğin primer hidatik hastalığı nadirdir ve spinal hidatitoz tüm hidatitozların sadece %1’ ini oluşturur. İlerleyen paraparezi ile prezente olan torakal bölgede yerleşmiş rekürren primer intraspinal ekstradural bir hidatik kist olgusu sunuyoruz. Olgu 16 sene önce primer spinal hidatik hastalık nedeniyle opere edilmiş ve stabilizasyon için olguya posterior enstrumantasyon uygulanmış. Hastanın torakal bölge manyetik rezonans görüntülemesinde (MRG) T11-12 seviyesinde spinal kordu posterolateral olarak komprese eden bir kistik lezyon saptandı. İntraspinal kist bir önceki operasyonda uygulanmış T11-12 laminektomi defekti kullanılarak eksize edildi. Erken postoperatif periyotta hastanın nörolojik defisitinde belirgin düzelme görüldü ve hasta albendazol ve amoksisilin-sulbaktam kombinasyonu içeren antihelmintik tedavi ile taburcu edildi.

Keywords

Kist hidatik, rekürren, torakal bölge

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