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Neurological picture
A widespread echinococcosis of the spine
  1. H Sudo,
  2. A Minami
  1. Department of Advanced Medicine for Spine and Spinal Cord Disorders, Hokkaido University Graduate School of Medicine, Sapporo, Japan
  1. Correspondence to Hideki Sudo, Department of Advanced Medicine for Spine and Spinal Cord Disorders, Hokkaido University Graduate School of Medicine, North-15, West-7, Kita-ku, Sapporo, Hokkaido 060-8638, Japan; hidekisudo{at}yahoo.co.jp

https://doi.org/10.1136/jnnp.2009.198341

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    A 73-year-old man presented with a 4-month history of increasing low-back pain. Upon physical examination, deep tendon reflex and muscle strength of both lower limbs were normal, but paraesthesia on his left thigh was observed. A plain lumbar spinal radiograph showed a compression fracture within the L2 vertebra and absent pedicle sign at both L1 and L2. Because a spinal tumour was suspected, magnetic resonance imaging was performed, which revealed a loculated cystic mass with multivesicular lesions in the thoracolumbar spine (figure …

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

    • Ethics approval This study was conducted with the approval of the Hokkaido University Hospital.

    • Provenance and peer review Not commissioned; externally peer reviewed.