Journal of Craniovertebral Junction and Spine

CASE REPORT
Year
: 2016  |  Volume : 7  |  Issue : 4  |  Page : 282--284

Spinal intradural hydatid cyst causing arachnoiditis: A rare etiology of cauda equina syndrome


Suyash Singh, Jayesh Sardhara, Amit Kumar Singh, Arun Kumar Srivastava, Kamlesh Singh Bhaisora, Kuntal Kanti Das, Anant Mehrotra, Rabi N Sahu, Awadhesh Kumar Jaiswal, Sanjay Behari 
 Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Correspondence Address:
Arun Kumar Srivastava
Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow - 226 014, Uttar Pradesh
India

This study aims to focus on a rare presentation of spinal hydatid cyst as cauda equine syndrome and misdiagnosed as intradural extramedullary (IDEM) benign lesion on magnetic resonance imaging. In this article, we report a case of spinal hydatid cyst masquerading as IDEM tumor, and intraoperatively, we accidently find clumped granuloma with severe arachnoiditis and hydatid cyst in lumber region, which was present as bilateral S1 radiculopathy with cauda equina syndrome. An 11 year old boy who presented with symptoms and signs of cauda equina syndrome and planned for surgical excision. His radiological impression was IDEM possibly neurofibroma. To our surprise, we found multiple intradural cystic lesions with arachnoiditis. Dissecting in plane cyst was flushed out, and surgical cavity was irrigated with 3% saline. Postoperatively histopathology and serum tests confirmed the diagnosis of hydatid cyst. Hydatid disease is rare cause of cauda equine syndrome which can be miss diagnosed on radiological investigations. A high index of suspicion should be kept especially in a young patient from the Indian subcontinent.


How to cite this article:
Singh S, Sardhara J, Singh AK, Srivastava AK, Bhaisora KS, Das KK, Mehrotra A, Sahu RN, Jaiswal AK, Behari S. Spinal intradural hydatid cyst causing arachnoiditis: A rare etiology of cauda equina syndrome.J Craniovert Jun Spine 2016;7:282-284


How to cite this URL:
Singh S, Sardhara J, Singh AK, Srivastava AK, Bhaisora KS, Das KK, Mehrotra A, Sahu RN, Jaiswal AK, Behari S. Spinal intradural hydatid cyst causing arachnoiditis: A rare etiology of cauda equina syndrome. J Craniovert Jun Spine [serial online] 2016 [cited 2022 Jan 26 ];7:282-284
Available from: https://www.jcvjs.com/article.asp?issn=0974-8237;year=2016;volume=7;issue=4;spage=282;epage=284;aulast=Singh;type=0