Primary para-vertebral hydatid cyst in the sub-occipital area of the neck: an unusual case of echinococcosis
| Autor: | Malik Liaqat Ahmad, Wani Naveed Gulshan, Kirmani Altaf Rehman, Wani Afshan Anjum, Dar Parvez Mohi Ud Din, Gorsi Bashir Ahmad |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
030231 tropical medicine lcsh:Surgery lcsh:RC321-571 030218 nuclear medicine & medical imaging Albendazole Lesion 03 medical and health sciences 0302 clinical medicine parasitic diseases medicine Pericardium Cyst Echinococcus granulosus lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry medicine.diagnostic_test biology business.industry Para-vertebral space Magnetic resonance imaging lcsh:RD1-811 biology.organism_classification medicine.disease Echinococcosis Parasite medicine.anatomical_structure Hydatid cyst Surgery Radiology Neurosurgery medicine.symptom business medicine.drug |
| Zdroj: | Egyptian Journal of Neurosurgery, Vol 33, Iss 1, Pp 1-5 (2018) |
| ISSN: | 2520-8225 |
| DOI: | 10.1186/s41984-018-0015-6 |
| Popis: | Background Hydatid disease is a parasitic infectious disease caused by Echinococcus granulosus. The parasite can form cysts in any part of the body with the liver and lung being the most commonly involved organs. It can rarely occur in other organs like the muscle, bone, pericardium, myocardium, spleen, spine, and neck. Para-vertebral hydatid cyst is very rare and can present with a variable clinical presentation. Surgical excision is the treatment modality of choice and accepted to be curative with a very low recurrence. Case presentation We here present a case of primary hydatid cyst in the para-vertebral space in sub-occipital area of the neck who presented with complaints of pain and swelling in the right posterior-lateral side of the neck. X-ray cervical spine revealed suspicious lesion in the sub-occipital area. Magnetic resonance imaging (MRI) was suggestive of multi-loculated cystic lesion. There were no such cysts found in peritoneal viscera or any other organ. Patient was planned for surgery and the cyst was excised. Histopathological examination confirmed the hydatid disease. Post-operatively, the patient was put on albendazole and patient’s symptoms disappeared after surgery. Conclusion Cysts in any part of the body should be evaluated for hydatid disease especially in the endemic areas. Radiological imaging and serology are important for diagnosis, and surgical excision is the best modality of treatment. |
| Databáze: | OpenAIRE |
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