{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:40:04Z","timestamp":1756320004966,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,10,4]]},"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:p>An elderly gentleman presented with heaviness over the right side of the chest, lower back pain and difficulty in walking for the last 6 months. He also reported of progressive weakness of the left leg associated with tingling and numbness for 2 months. Imaging studies revealed a large hydatid cyst in the right thoracic cavity compressing the spinal cord. The patient was prescribed a 14-day course of albendazole therapy. He underwent laparoscopic transdiaphragmatic deroofing and evacuation of the cyst. Postoperative recovery was uneventful. The patient started showing symptom relief from day 1 of surgery and by day 3, his right leg strength and sensation recovered remarkably. Echinococcal cyst is a zoonotic disease that can affect any part of the body. Vertebral involvement and spinal cord compression is a rare manifestation of echinococcal disease. Such cases pose diagnostic and therapeutic challenges and require a multidisciplinary approach to treat them successfully.<\/jats:p>","DOI":"10.1136\/bcr-2021-245615","type":"journal-article","created":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T14:11:38Z","timestamp":1634134298000},"page":"e245615","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic transdiaphragmatic approach to a thoracic paravertebral hydatid cyst presenting with compression myelopathy"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6556-8228","authenticated-orcid":false,"given":"Saket","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhay","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of General and Minimally Invasive Surgery, BIG Apollo Spectra Hospitals, Patna, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mukesh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, BIG Apollo Spectra Hospitals, Patna, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rana","family":"Parween","sequence":"additional","affiliation":[{"name":"Department of General and Minimally Invasive Surgery, BIG Apollo Spectra Hospitals, Patna, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,10,13]]},"reference":[{"key":"2025082711102653000_14.10.e245615.1","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.12998\/wjcc.v8.i7.1203","article-title":"Thoracic hydatid disease: a radiologic review of unusual cases","volume":"8","author":"Saeedan","year":"2020","journal-title":"World J Clin Cases"},{"key":"2025082711102653000_14.10.e245615.2","doi-asserted-by":"crossref","first-page":"629","DOI":"10.20506\/rst.29.3.2007","article-title":"Parasitic zoonoses in India: an overview","volume":"29","author":"Singh","year":"2010","journal-title":"Rev Sci Tech"},{"key":"2025082711102653000_14.10.e245615.3","doi-asserted-by":"crossref","DOI":"10.1186\/s12879-018-3201-y","article-title":"Medical treatment of cystic echinococcosis: systematic review and meta-analysis","volume":"18","author":"Velasco-Tirado","year":"2018","journal-title":"BMC Infect Dis"},{"key":"2025082711102653000_14.10.e245615.4","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1111\/j.1368-5031.2004.00174.x","article-title":"Surgical treatment of hepatic hydatid cyst","volume":"58","author":"Mcfall","year":"2004","journal-title":"Int J Clin Pract"},{"key":"2025082711102653000_14.10.e245615.5","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000025177","article-title":"Progressive compressive myelopathy induced by a rare primary isolated thoracic vertebral hydatid cyst: a case report","volume":"100","author":"Zhang","year":"2021","journal-title":"Medicine"},{"doi-asserted-by":"publisher","key":"2025082711102653000_14.10.e245615.6","DOI":"10.1016\/j.ijid.2008.03.037"},{"key":"2025082711102653000_14.10.e245615.7","doi-asserted-by":"crossref","first-page":"179","DOI":"10.4103\/0970-2113.177449","article-title":"Cystic pulmonary hydatidosis","volume":"33","author":"Sarkar","year":"2016","journal-title":"Lung India"},{"key":"2025082711102653000_14.10.e245615.8","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0002450","article-title":"Spinal cystic echinococcosis--a systematic analysis and review of the literature: part 1. 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