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ENDLESS STORY OF A SPINAL COLUMN HYDATID CYST DISEASE: A CASE REPORT

GOKHAN CAVUS, VEDAT ACİK, EMRE BİLGİN, YURDAL GEZERCAN, ALİ IHSAN OKTEN

Acta Orthopaedica et Traumatologica Turcica - 2018;52(5):397-403

Department of Neurosurgery, Adana Numune Training and Research Hospital, Adana, Turkey

 

We describe a case of multifocal relapsing hydatid cyst following multilevel thoracic corpectomy and 360 instrumentation surgery. A 41-year-old male patient presented with cord compression and paraplegia due to a multiseptated cystic lesion at T10-11 level. The cyst was excised with a combined anterior and posterior approach and 360 stabilization was performed. The patient received albendazole for 1 year after the surgery. The patient presented with paraparesis 5 years after the surgery. Cystic lesions between C2-T1 and T10-11 were detected on the spinal MRI and the patient was operated with removal of the lesions on both levels and adjuvant local 20% hypertonic saline application. The patient received albendazole for the postoperative 6 months. After 3 months from the surgery, the patient’s paraparesis recovered. There was no recurrence after 2 years from the last surgery.