Vertebro-Medullary Hydatid Cyst Case Report Diagnostic and Therapeutic Approach

Although rare, vertebral echinococcosis is a serious condition due to the neurological complications and therapeutic difficulties involved. The prognosis remains uncertain. Clinical symptoms are limited to pain with no specificity apart from signs of spinal cord or radicular compression. Diagnosis is difficult; conventional radiology may reveal certain indirect but highly suggestive signs, but the most accurate examination remains a CT scan and MRI. The possibility of certain serological tests can guide the diagnosis. Only surgical treatment can lead to a cure. Difficult total resection explains the frequency of recurrences and the multiplicity of operations, giving the disease a local malignancy. Medical treatment (Mebendazole) remains disappointing at present. Material and method: We report a case of thoracic vertebro-medullary hydatid cysts (HC) in a woman who underwent surgery. The diagnosis was based on clinical, biological and radiological examinations.