Paraplegia Revealing Primary Extradural Spinal Hydatidosis

Salem Bouomrani1,2*, Nizar Khlass1, Moez Ben Ayed2,3, Oussema Souissi1 & Nesrine Regaïeg1,2

1Department of Internal Medicine, Military Hospital of Gabes, Tunisia
2Sfax Faculty of Medicine, University of Sfax, Tunisia
3Department of Orthopedics, Regional Hospital of Gabes, Tunisia

Dr. Salem Bouomrani, Department of Internal Medicine, Military Hospital of Gabes, Tunisia.

Keywords: Paraplegia; Extradural Hydatid Cyst; Spine; Hydatidosis; Echinococcosis


Spinal hydatidosis is exceptional: prevalence estimated at less than 1% of all localizations of the hydatid disease. Extradural forms of spinal hydatid cyst are rare and only a few sporadic cases have been reported in the medical literature. It is characterized by its high clinical latency, potential severity, and frequent recurrence. It can present itself as a real neurological emergency: spinal cord compression and cauda equina syndrome. It is thus recommended to evoke this diagnosis in front of any symptomatology of non-traumatic spinal cord compression in endemic areas for this parasitosis.
We report an original observation of acute paraplegia revealing a primary extradural hydatid cyst of the dorsal cord in a young Tunisian man.

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