Spinal Hydatid Disease with Neurologic Complications: A Report of Two Cases and Review of Literatures

We present two patients with spinal hydatid disease who presented with its consequent neurologic complications. The first was a 32-year-old female with sudden urinary retention, paraparesis, low back pain and decreased libido. Magnetic resonance imaging revealed a solitary mixed lobulated mass in the right paravertebral region at T6-T7 level. She underwent surgical decompression and appropriate chemotherapy. Although the symptoms were relieved, she came back after 56 months with recurrence of the disease. The second case was a 12-year-old boy presented with weakness in the lower limb and upper motor deficit. On magnetic resonance images, there was a solitary anteriorly located intramedullary mass at T1-T2. During surgical excision, an intradural extramedullary cystic mass was found. Surgical excision and decompression was performed and oral albendazole was administered. The symptoms resolved and the patient was stable within three years follow-up.