A rare and dangerous infectious lesion: Hydatid disease of the cervical spine

Abstract

Hydatidosis is an infectious disease caused mostly by Echinococcus granulosus. A 63-year-old male was admitted to our institute with the complaints of tetraparesis. Magnetic resonans imaging revealed a multilobular, cystic lesion in the cervical epidural region. Using posterior cervical approach, total cyst excision was performed. Histopathological examination revealed as a hydatid cyst. Cervical spinal hydatid cyst is an extremely rare pathology. The goal of surgery is to remove all the cysts without rupture in the early course of the disease. Surgical area should be washed with saline solution and albendazole is the first line drug in the treatment. J Clin Exp Invest 2014; 5 (3): 452-455

Keywords

• Echinococcus granulosus, infection, spinal cyst, albendazole

Nadir ve tehlikeli bir enfeksiyöz lezyon: Servikal hidatik kist

Öz

Hidatizozis sıklıkla Echinococcus granulosus\'un neden olduğu enfeksiyöz bir hastalıktır. 63 yaşında erkek hasta el ve ayaklarda kuvvetsizlik şikayeti ile polikliniğimize başvurdu. Magnetik rezonans görüntülemede servikal epidural bölgede kistik multilobüler lezyon tespit edildi. Posterior yaklaşımla kist eksizyonu yapıldı. Histopatolojik inceleme sonucu hidatik kist olarak değerlendirildi. Servikal spinal hidatik kist oldukça nadir görülen bir patolojidir. Cerrahinin amacı hastalığın erken döneminde kisti rüptüre etmeden çıkarmaktır. Cerrahi alan hipertonik salin ile yıkanmalıdır ve albendazol tedavide ilk tercih edilecek ilaçtır.

Anahtar Kelimeler

• Echinococcus granulosus, enfeksiyon, spinal kist, servikal, albendazol

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