From: Imaging diagnosis and management of primary spinal hydatid disease: a case series
S. no. | MRI findings | Imaging differentials | Imaging evaluative for primary hydatid disease elsewhere | Management | Outcome | Recurrence | |||
---|---|---|---|---|---|---|---|---|---|
Location | Signal characteristics | Compression over cord/ cauda equina | Extraspinal soft tissue involvement | ||||||
1 | Extradural cystic lesion at D8-9 level | T1-hypo, T2/STIR-hyper with thin smooth hypo-wall, No enhancement | Cord compression present | Absent | Hydatidosis Cysticercosis Cystic tumor | Negative | D8 to D10 laminectomy with cyst excision f/b albendazole therapy | Improved | Absent |
2 | D9-10 vertebral body multiloculated cystic lesion | T1-hypo, T2/STIR-hyper with thin smooth hypo-wall, patchy rim enhancement | Cord compression present | Present | Hydatid disease | Negative | D8-D10 transpedicular rod and screw fixation with D9 hemilaminectomy and cyst excision | Improved | Absent |
3 | L5 vertebral body multiloculated cystic lesion | T1-hypo, T2/STIR-hyper with thin smooth hypo-wall, patchy rim enhancement | Cauda equina compression present | Present | Hydatid disease | Negative | L3-4 7 S1 transpedicular rod and screw fixation with L4-5 laminectomy and L5 corpectomy with total cyst excision | Motor weakness persisted | Absent |