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Through a laminectomy, an epidural catheter may be introduced under fluoroscopic guidance/x-ray control to uniquely irrigate with isotonic saline/aspirate and decompress-the epidural hydatid cysts. This is particularly useful in patients with significant comorbidities, who are not candidates for more aggressive surgical decompression. Further, all patients should be continued on prolonged chemotherapy and should be monitored closely due to the high rate of recurrence of these cysts.

A new surgical technique for the removal of extensive spinal epidural hydatid cyst