Primary Paraspinal Intramuscular Hydatid Cysts Mimicking a Soft Tissue Tumor: A Case Report
Asian Journal of Neurosurgery, cilt.20260303, ss.1-4, 2026 (Scopus)
- Yayın Türü: Makale / Vaka Takdimi
- Cilt numarası: 20260303
- Basım Tarihi: 2026
- Doi Numarası: 10.1055/s-0046-1817015
- Dergi Adı: Asian Journal of Neurosurgery
- Derginin Tarandığı İndeksler: Scopus, EBSCO Education Source, PubMed
- Sayfa Sayıları: ss.1-4
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Eskişehir Osmangazi Üniversitesi Adresli: Evet
Özet
Primaryintramuscularhydatiddiseaseoftheparaspinalmusclesisexceptionallyrare, particularlyintheabsenceofhepaticorpulmonaryinvolvement.Itsnonspecificclinical andradiological featuresoftenmimicsoft tissuetumors, creatingdiagnosticchallenges for neurosurgeons practicing in endemic regions. A 22-year-oldwoman presentedwithaslowlyenlarging,mildlypainfulrightlumbarparaspinalmasswithout animal exposureor systemic symptoms.Magnetic resonance imaging revealeda multiloculatedcystic lesionextending fromL2toL4that lackeddefinitivehydatid featuresandcouldnotbeclearlydistinguishedfromasynovial cyst, cysticschwannoma,abscess,orepidermoidcyst.SerologyshowedpositiveEchinococcusgranulosus IgG(ELISA).Thepatientunderwentposteriorenblocexcision.Intraoperativemanagement includedmeticulouscontainmentandirrigationwith3%hypertonicsalineand povidone-iodineforapproximately10minutes, followedbycopioussalinewashout. Grosspathologyrevealedmultipledaughtercysts, andhistopathologyconfirmeda hydatidcystwithlaminatedandgerminallayers.Albendazole(400mgtwicedaily)was administeredfor3months.At8monthsoffollow-up,thepatientremainsasymptomaticwithno radiological recurrence.Hydatiddisease shouldbeconsidered in the differential diagnosis of paraspinal cystic lesions, even inyoungpatientswithout exposurehistoryorvisceralinvolvement.Earlyrecognition,intactsurgicalexcision,use of scolicidal agents, andappropriateantiparasitictherapyarecritical topreventing recurrence.