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Progressive compressive myelopathy induced by a rare primary isolated thoracic vertebral hydatid cyst: A case report
RATIONALE: Hydatid cyst is a disease caused by the larvae of Echinococcus spp. The larvae often reside in the liver, lungs, and brain. Occasionally, a primary isolated thoracic vertebral hydatid cyst is reported to cause severe complications. Various diseases may lead to the development of progressi...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7982161/ https://www.ncbi.nlm.nih.gov/pubmed/33726007 http://dx.doi.org/10.1097/MD.0000000000025177 |
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author | Zhang, Bei Zhang, Li Zhou, Hongli Tian, Junwei Wang, Jiping |
author_facet | Zhang, Bei Zhang, Li Zhou, Hongli Tian, Junwei Wang, Jiping |
author_sort | Zhang, Bei |
collection | PubMed |
description | RATIONALE: Hydatid cyst is a disease caused by the larvae of Echinococcus spp. The larvae often reside in the liver, lungs, and brain. Occasionally, a primary isolated thoracic vertebral hydatid cyst is reported to cause severe complications. Various diseases may lead to the development of progressive compressive myelopathy. Herein, we report a rare case of a primary isolated thoracic vertebral hydatid cyst with compressive myelopathy. PATIENT CONCERNS: A 57-year-old female had numbness and weakness in the lower limbs for a span of 3-months. DIAGNOSIS: Thoracic magnetic resonance imaging (MRI) showed that an isolated mass was observed in the T5 vertebral body, which compressed the spinal cord. The diagnosis was confirmed after surgical excision, and Echinococcus granulosus was found to be the etiologic factor. INTERVENTIONS: The patient underwent laminectomy with no complications. OUTCOMES: After surgical decompression, the patient made slow and measurable progress. While relatively rare in the non-pastoral area, the primary isolated thoracic vertebral column hydatid cyst may be considered as a possible etiology of atypical extradural spinal compression. LESSONS: This case illustrates the complexity of spinal echinococcosis manifestations and the necessity of an interdisciplinary approach. |
format | Online Article Text |
id | pubmed-7982161 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-79821612021-03-23 Progressive compressive myelopathy induced by a rare primary isolated thoracic vertebral hydatid cyst: A case report Zhang, Bei Zhang, Li Zhou, Hongli Tian, Junwei Wang, Jiping Medicine (Baltimore) 6800 RATIONALE: Hydatid cyst is a disease caused by the larvae of Echinococcus spp. The larvae often reside in the liver, lungs, and brain. Occasionally, a primary isolated thoracic vertebral hydatid cyst is reported to cause severe complications. Various diseases may lead to the development of progressive compressive myelopathy. Herein, we report a rare case of a primary isolated thoracic vertebral hydatid cyst with compressive myelopathy. PATIENT CONCERNS: A 57-year-old female had numbness and weakness in the lower limbs for a span of 3-months. DIAGNOSIS: Thoracic magnetic resonance imaging (MRI) showed that an isolated mass was observed in the T5 vertebral body, which compressed the spinal cord. The diagnosis was confirmed after surgical excision, and Echinococcus granulosus was found to be the etiologic factor. INTERVENTIONS: The patient underwent laminectomy with no complications. OUTCOMES: After surgical decompression, the patient made slow and measurable progress. While relatively rare in the non-pastoral area, the primary isolated thoracic vertebral column hydatid cyst may be considered as a possible etiology of atypical extradural spinal compression. LESSONS: This case illustrates the complexity of spinal echinococcosis manifestations and the necessity of an interdisciplinary approach. Lippincott Williams & Wilkins 2021-03-19 /pmc/articles/PMC7982161/ /pubmed/33726007 http://dx.doi.org/10.1097/MD.0000000000025177 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 |
spellingShingle | 6800 Zhang, Bei Zhang, Li Zhou, Hongli Tian, Junwei Wang, Jiping Progressive compressive myelopathy induced by a rare primary isolated thoracic vertebral hydatid cyst: A case report |
title | Progressive compressive myelopathy induced by a rare primary isolated thoracic vertebral hydatid cyst: A case report |
title_full | Progressive compressive myelopathy induced by a rare primary isolated thoracic vertebral hydatid cyst: A case report |
title_fullStr | Progressive compressive myelopathy induced by a rare primary isolated thoracic vertebral hydatid cyst: A case report |
title_full_unstemmed | Progressive compressive myelopathy induced by a rare primary isolated thoracic vertebral hydatid cyst: A case report |
title_short | Progressive compressive myelopathy induced by a rare primary isolated thoracic vertebral hydatid cyst: A case report |
title_sort | progressive compressive myelopathy induced by a rare primary isolated thoracic vertebral hydatid cyst: a case report |
topic | 6800 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7982161/ https://www.ncbi.nlm.nih.gov/pubmed/33726007 http://dx.doi.org/10.1097/MD.0000000000025177 |
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