PMC5961279_01
Sagittal T2-weighted MRI showing spinal cord compression from T6 to T2 vertebral level by several posterior epidural cystic lesions
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F1
T1-WI and brightly hyperintense on T2-WI) dorsally and epidurally in the spinal canal extending from T2 to T7 [Figure 1]. The thoraco-abdominal CT scans were negative as were routine laboratory studies.
Intraoperative photograph showing the silicon intraventricular catheter inserted in the posterior epidural space at T7 vertebral level at the laminectomy site (arrow)
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F2
Next, a silicon intraventricular catheter was inserted in the posterior epidural space through the T7 laminctomy, and passed/advanced cranially under fluoroscopic control to T2-T3 [Figures 2 and 3].
Intraoperative lateral view of fluoroscopic-guided epidural catheter. The catheter is being placed in the epidural space at the level of T3-T6 (a) and advanced cranially to T2-T3 vertebral level (b)
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F3
Next, a silicon intraventricular catheter was inserted in the posterior epidural space through the T7 laminctomy, and passed/advanced cranially under fluoroscopic control to T2-T3 [Figures 2 and 3].
Early postoperative sagittal MRI on T2-WI showing near-total collapsed cystic lesions on T2-T7 vertebral level (a). Note the complete cystic disappearance 9 months later (b)
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F4
The early postoperative MRI showed near-total removal of the epidural hydatid cystic lesions [Figure 4a]. At one postoperative year, she was asymptomatic and disease free [Figure 4b].