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首页> 外文期刊>Egyptian Journal of Neurosurgery >Primary para-vertebral hydatid cyst in the sub-occipital area of the neck: an unusual case of echinococcosis
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Primary para-vertebral hydatid cyst in the sub-occipital area of the neck: an unusual case of echinococcosis

机译:颈部枕下区域原发性椎旁包虫囊肿:棘球ech虫病的罕见病例

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Hydatid disease is a parasitic infectious disease caused by Echinococcus granulosus. The parasite can form cysts in any part of the body with the liver and lung being the most commonly involved organs. It can rarely occur in other organs like the muscle, bone, pericardium, myocardium, spleen, spine, and neck. Para-vertebral hydatid cyst is very rare and can present with a variable clinical presentation. Surgical excision is the treatment modality of choice and accepted to be curative with a very low recurrence. We here present a case of primary hydatid cyst in the para-vertebral space in sub-occipital area of the neck who presented with complaints of pain and swelling in the right posterior-lateral side of the neck. X-ray cervical spine revealed suspicious lesion in the sub-occipital area. Magnetic resonance imaging (MRI) was suggestive of multi-loculated cystic lesion. There were no such cysts found in peritoneal viscera or any other organ. Patient was planned for surgery and the cyst was excised. Histopathological examination confirmed the hydatid disease. Post-operatively, the patient was put on albendazole and patient’s symptoms disappeared after surgery. Cysts in any part of the body should be evaluated for hydatid disease especially in the endemic areas. Radiological imaging and serology are important for diagnosis, and surgical excision is the best modality of treatment.
机译:d虫病是由细粒棘球caused球菌引起的寄生虫感染性疾病。寄生虫可以在人体的任何部位形成囊肿,其中肝和肺是最常见的器官。它很少发生在其他器官,如肌肉,骨骼,心包,心肌,脾脏,脊柱和颈部。椎旁包虫囊肿非常少见,可表现为多种临床表现。手术切除是一种选择的治疗方式,被认为可以治愈,复发率很低。我们在这里介绍了在颈部枕下区域的椎旁间隙中原发性包虫囊肿的病例,这些患者在颈部右后外侧出现疼痛和肿胀的主诉。 X射线颈椎显示枕下区域有可疑病变。磁共振成像(MRI)提示多处性囊性病变。在腹膜内脏或任何其他器官中均未发现此类囊肿。计划对患者进行手术,并切除了囊肿。组织病理学检查证实为包虫病。术后,患者被戴上阿苯达唑,术后症状消失。应评估身体任何部位的囊肿是否患有包虫病,尤其是在流行地区。放射学影像学和血清学对诊断很重要,而手术切除是最好的治疗方法。

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