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 76
- Downloads 0
DEXMEDETOMIDINE AT A DOSE OF 0.6microgram/kg IN ATTENUATION OF HEMODYNAMIC STRESS RESPONSE OF ELECTROCONVULSIVE THERAPY
Electroonvulsive therapy is associated with hemodynamic responses similar to that of laryngoscopy and intubation. Alpha adrenergnic agents have been tried to attenuate this stress response effectively among which dexmede...
ACUTE MYELOGENOUS LEUKEMIA PRESENTING WITH ABRUPT ONSET LEUKEMIA CUTIS IN A YOUNG BOY: A RARE CASE REPORT
We report an 25-year-old young male patient who presented with sudden onset multiple generalized skin lesions of dusky erythematous plaques of various size and shape all over the body which tends to bleed on rubbing. His...
ESTIMATION OF HEIGHT FROM THE LONG BONES OF UPPERLIMB AND HAND DIMENSIONS IN SOUTH INDIAN POPULATION
Prediction of stature from incomplete and decomposing skeletal remains is vital in establishing the identity of an unknown individual. It has been stated that a variety of factors such as race, gender and nutrition play...
ROLE OF MULTIPHASE CT IN DIFFERENTIATING PLEOMORPHIC ADENOMA FROM OTHER PAROTID NEOPLASMS
BACKGROUND Pleomorphic adenoma of parotid gland shows mild enhancement immediately after IV contrast injection. This property can be used in differentiating it from other parotid neoplasms. The aim of this study was to r...
TUBERCULOSIS AND HIV COINFECTION: A TERTIARY CARE HOSPITAL STUDY
OBJECTIVE The aim of the present study is to record the clinical, radiological profile of pulmonary and extra pulmonary tuberculosis (EPTB) in HIV positive patients. To win the battle against AIDS we have to fight agains...