INTRASPINAL HYDATID CYST- RARE CASE REPORT
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 34
Abstract
PRESENTATION OF CASE A 20-year-old male presented to us with complaints of urinary incontinence and right lower limb weakness. On examination the patient had continuous urinary dribbling with lower motor neuron type of bladder involvement. The lower limb weakness was limited to the dorsi-flexion of the ankle and the toes with extensor hallucis longus (EHL) weakness. The deep tendon ankle reflex was depressed on the right side and the plantar reflex was mute. Power and reflexes on the left side were normal. CLINICAL DIAGNOSIS Diagnosis of a cauda equina compression was made which was confirmed on Magnetic Resonance Imaging (MRI), which showed a T2 Hyper-intense and T1 Hypo-intense, irregular walled cystic lesion in the spinal canal extradural space at the L5 to S2 vertebral levels extending more to the right side. The lesion was non-enhancing on contrast and had a hyper-intense thin rim. (Figure 1, 2, 3, 4) DIFFERENTIAL DIAGNOSIS On the MRI a provisional diagnosis of a benign cyst more likely a Tarlov’s cyst was made. Other differentials which were thought of were spinal tumours like cystic ependymoma or arachnoid cyst. Hydatid cyst of the spine was not thought of until surgical findings were suggestive of the same.
Authors and Affiliations
Anuj Arun Bhide, Vernon L. Velho, Nimesh A Jain
Keywords
Related Articles
- EP ID EP571130
- DOI 10.18410/jebmh/2018/521
- Views 111
- Downloads 0
EWING’S SARCOMA OF THE CALCANEUM - RARE PRESENTATION
CASE PRESENTATION A 11-year-old girl came with painful swelling in region of the heel of foot on the left side for 1 month. Local examination revealed non-mobile, firm swelling of heel with tenderness. The AP & lateral r...
UNILATERAL MEMBRANOUS ATRESIA WITH OSSICULAR MALROTATION AND CONGENITAL CHOLESTEATOMA
INTRODUCTION Congenital cholesteatoma is a rare entity, arising from aberrant epithelial remnants left at the time of closure of the neural groove between the third and fifth week of fetal life with incidence ranging fro...
EPIDEMIOLOGICAL STUDY OF DIABETIC RETINOPATHY IN DIABETES MELLITUS PATIENTS IN TERTIARY CARE CENTRE
OBJECTIVE The study objective was to examine the effect of glycaemic control and variations on the incidence and progression of diabetic retinopathy (DR) among the diabetes mellitus patients visiting Medicine and Ophthal...
NOT ALL FOREIGN BODIES OF UPPER DIGESTIVE TRACT ARE ACCIDENTAL
To give the message that a sharp foreign body in the upper gastrointestinal tract in a female child is to be seen with caution as it could be a case of infanticidal attempt. CASE REPORT: A two and half month old baby pre...
VISUAL OUTCOME OF OCULAR INJURY IN PAEDIATRIC POPULATION PRESENTING AT TERTIARY EYE CARE CENTRE IN WEST BENGAL
BACKGROUND Ocular trauma is an important worldwide cause of visual morbidity. It includes a spectrum of simple ocular surface foreign bodies, minute corneal abrasions to devastating perforating injuries causing blindness...