Assuntos
Equinococose/complicações , Canal Medular/parasitologia , Compressão da Medula Espinal/parasitologia , Espaço Subdural/parasitologia , Criança , Pré-Escolar , Descompressão Cirúrgica , Dura-Máter/parasitologia , Dura-Máter/cirurgia , Equinococose/patologia , Equinococose/cirurgia , Feminino , Humanos , Laminectomia , Masculino , Procedimentos Neurocirúrgicos , Paraparesia/parasitologia , Paraparesia/cirurgia , Polirradiculopatia/parasitologia , Polirradiculopatia/cirurgia , Canal Medular/cirurgia , Compressão da Medula Espinal/terapia , Espaço Subdural/cirurgia , Resultado do Tratamento , Adulto JovemRESUMO
OBJECTIVE: Spinal hydatid cyst is a serious form of hydatid disease affecting fewer than 1% of all patients with hydatid disease. We report 3 healthy patients who presented with progressive paraparesis attributed to a histologically proven intradural hydatid cyst. METHODS: There were 2 children (1 boy, 1 girl) and 1 adult with a mean age of 12 years. The median follow-up duration was 16 months. Spinal magnetic resonance imaging was performed in the 3 patients, and an anatomic and topographical diagnosis of the intradural hydatid cyst was made. RESULTS: Magnetic resonance imaging scans revealed cystic lesions with peripheral contrast enhancement. Surgery was performed through laminectomy, complete resection was achieved, and antihelminthic treatment with albendazole 10 mg/kg-1 per day for 6 months was included in the postoperative treatment. The patients improved after surgery with normal motor function. CONCLUSION: This localization is rare and serious, but its prognosis is excellent if diagnosis is made early enough and surgery is performed in time to prevent cyst rupture.