Akademik Veri Yönetim Sistemi
Asian Journal of Neurosurgery, cilt.20260303, ss.1-4, 2026 (Scopus)
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.