Back bugged: A case of sacral hydatid cyst
Hydatid cyst of bone constitutes only 0.5 - 2% of all hydatidoses. The thoracic spine is the most common site of spinal hydatidoses. Primary hydatid cyst of the sacral spinal canal is rare. A 23-year-old gentleman had back pain fi ve years ago. At that time he was evaluated and found to have a small...
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2010-01-01
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Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.63104 |
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doaj-f2f8e07e81504e5985161180b4d906bb2021-04-02T10:59:39ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neurosciences in Rural Practice0976-31470976-31552010-01-010101434510.4103/0976-3147.63104Back bugged: A case of sacral hydatid cystDipak Patel0Dhaval Shukla1Department of Neurosurgery, Pramukh Neurosurgical Hospital, Ahmedabad - 380015Department of Neurosurgery, National Institute of Mental Health and Neurosciences (NIMHANS), Hosur Road, Bangalore-560 029, IndiaHydatid cyst of bone constitutes only 0.5 - 2% of all hydatidoses. The thoracic spine is the most common site of spinal hydatidoses. Primary hydatid cyst of the sacral spinal canal is rare. A 23-year-old gentleman had back pain fi ve years ago. At that time he was evaluated and found to have a small cyst in S1 spinal canal, which was presumed to be a benign Tarlov’s cyst; and no treatment was off ered. He continued to have back pain and also developed sciatica on the right side. Neurological examination presently revealed right S1 radiculopathy. Magnetic resonance imaging (MRI) showed a large multiloculated cystic lesion extending from L5 to S2 spinal canal with bone erosion, both anteriorly and posteriorly. He underwent L5 to S2 laminectomy and excision of multiple cysts. The whole cyst was excised and cavity irrigated with sterilized formalin. A laparoscope was introduced in the cavity to look for extension into the pelvis and to confirm complete excision. Postoperatively, the patient received albendazole for two months. At 16 months follow-up the patient was asymptomatic. Hydatid cyst of sacrum is rare and can be missed at initial presentation. If the patient with a cystic lesion of sacral continues to have symptoms the diagnosis should be revaluated and prompt treatment should be off ered.http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.63104cestodeechinococcushydatidsacrumspine |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Dipak Patel Dhaval Shukla |
spellingShingle |
Dipak Patel Dhaval Shukla Back bugged: A case of sacral hydatid cyst Journal of Neurosciences in Rural Practice cestode echinococcus hydatid sacrum spine |
author_facet |
Dipak Patel Dhaval Shukla |
author_sort |
Dipak Patel |
title |
Back bugged: A case of sacral hydatid cyst |
title_short |
Back bugged: A case of sacral hydatid cyst |
title_full |
Back bugged: A case of sacral hydatid cyst |
title_fullStr |
Back bugged: A case of sacral hydatid cyst |
title_full_unstemmed |
Back bugged: A case of sacral hydatid cyst |
title_sort |
back bugged: a case of sacral hydatid cyst |
publisher |
Thieme Medical and Scientific Publishers Pvt. Ltd. |
series |
Journal of Neurosciences in Rural Practice |
issn |
0976-3147 0976-3155 |
publishDate |
2010-01-01 |
description |
Hydatid cyst of bone constitutes only 0.5 - 2% of all hydatidoses. The thoracic spine is the most common site of spinal hydatidoses. Primary hydatid cyst of the sacral spinal canal is rare. A 23-year-old gentleman had back pain fi ve years ago. At that time he was evaluated and found to have a small cyst in S1 spinal canal, which was presumed to be a benign Tarlov’s cyst; and no treatment was off ered. He continued to have back pain and also developed sciatica on the right side. Neurological examination presently revealed right S1 radiculopathy. Magnetic resonance imaging (MRI) showed a large multiloculated cystic lesion extending from L5 to S2 spinal canal with bone erosion, both anteriorly and posteriorly. He underwent L5 to S2 laminectomy and excision of multiple cysts. The whole cyst was excised and cavity irrigated with sterilized formalin. A laparoscope was introduced in the cavity to look for extension into the pelvis and to confirm complete excision. Postoperatively, the patient received albendazole for two months. At 16 months follow-up the patient was asymptomatic. Hydatid cyst of sacrum is rare and can be missed at initial presentation. If the patient with a cystic lesion of sacral continues to have symptoms the diagnosis should be revaluated and prompt treatment should be off ered. |
topic |
cestode echinococcus hydatid sacrum spine |
url |
http://www.thieme-connect.de/DOI/DOI?10.4103/0976-3147.63104 |
work_keys_str_mv |
AT dipakpatel backbuggedacaseofsacralhydatidcyst AT dhavalshukla backbuggedacaseofsacralhydatidcyst |
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