Multiple hydatid cysts of the neck, the nasopharynx and the skull base revealing cervical vertebral hydatid disease

Hydatid disease is caused by the parasitic tapeworm Echinococcus. This parasite in larval stage can thrive in many parts of the body, most commonly in the liver and the lung. Hydatid disease in the head and neck is uncommon and hydatid cyst presents rarely as a cervical mass . Cervical vertebral ech...

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Bibliographic Details
Published in:	International journal of pediatric otorhinolaryngology Vol. 67; no. 6; pp. 655 - 662
Main Authors:	El Kohen, Asma, Benjelloun, Abdelaziz, El Quessar, Abdeljalil, Derraz, Said, Lazrak, Abdenasser, Jazouli, Nezha, Kzadri, Mohamed
Format:	Journal Article
Language:	English
Published:	Amsterdam Elsevier Ireland Ltd 01-06-2003 Elsevier
Subjects:	Adolescent Animals Biological and medical sciences Cervical Vertebrae - diagnostic imaging Cervical Vertebrae - parasitology Cervical Vertebrae - pathology Echinococcosis - complications Echinococcosis - diagnosis Echinococcosis - parasitology Echinococcus - isolation & purification Extradural hydatid cyst Female Head and neck Humans Magnetic Resonance Imaging Medical sciences Nasopharynx Nasopharynx - diagnostic imaging Nasopharynx - parasitology Nasopharynx - pathology Neck - diagnostic imaging Neck - parasitology Neck - pathology Skull base Skull Base - diagnostic imaging Skull Base - parasitology Skull Base - pathology Spinal Diseases - diagnosis Spinal Diseases - etiology Spinal Diseases - parasitology Tomography, X-Ray Computed Vertebral MRI, magnetic resonance imaging Skull base Vertebral Head and neck Nasopharynx HD, hydatid disease CT, computing tomography FNAB, fine-needle aspiration biopsy Extradural hydatid cyst
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Summary:	Hydatid disease is caused by the parasitic tapeworm Echinococcus. This parasite in larval stage can thrive in many parts of the body, most commonly in the liver and the lung. Hydatid disease in the head and neck is uncommon and hydatid cyst presents rarely as a cervical mass . Cervical vertebral echinococcosis is rare. We report a 14-year-old girl with multiple cervical spine hydatid cysts of the C1–C2 vertebrae that spread into the surrounding paravertebral tissues and involve the nasopharynx and the skull base particularly the left jugular foramen. This process has caused a progressive swelling in the left side of the neck located in the retrostyloid compartment of the parapharyngeal space with paralysis of cranial nerves (VI, IX, X, XI, XII). The diagnosis was made based on the image obtained from CT and MRI examinations. Characteristics of this rare disease, diagnosis and treatment difficulty are discussed.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0165-5876 1872-8464
DOI:	10.1016/S0165-5876(03)00059-4