Assuntos
Cauda Equina/patologia , Hemorragia/patologia , Polirradiculopatia/patologia , Sarcoma de Ewing/patologia , Neoplasias da Coluna Vertebral/patologia , Espaço Subaracnóideo/patologia , Doença Aguda , Adulto , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Cauda Equina/irrigação sanguínea , Cauda Equina/cirurgia , Descompressão Cirúrgica , Doxorrubicina/uso terapêutico , Tratamento Farmacológico/métodos , Feminino , Hemorragia/etiologia , Hemorragia/fisiopatologia , Humanos , Ifosfamida/uso terapêutico , Vértebras Lombares/patologia , Vértebras Lombares/cirurgia , Imageamento por Ressonância Magnética , Procedimentos Neurocirúrgicos , Paraparesia/etiologia , Paraparesia/patologia , Paraparesia/fisiopatologia , Polirradiculopatia/etiologia , Polirradiculopatia/fisiopatologia , Radioterapia/métodos , Sarcoma de Ewing/complicações , Sarcoma de Ewing/fisiopatologia , Neoplasias da Coluna Vertebral/complicações , Neoplasias da Coluna Vertebral/fisiopatologia , Raízes Nervosas Espinhais/irrigação sanguínea , Raízes Nervosas Espinhais/parasitologia , Raízes Nervosas Espinhais/cirurgia , Espaço Subaracnóideo/cirurgia , Resultado do Tratamento , Bexiga Urinaria Neurogênica/etiologia , Bexiga Urinaria Neurogênica/patologia , Bexiga Urinaria Neurogênica/fisiopatologiaRESUMO
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.