A recurrent intradural cervical neurenteric cyst operated on using an anterior approach

Spinal Neurenteric Cyst

“…Division of the denticulate ligament helps in rotating the spinal cord. As the part of the cyst wall adherent to the ventral cord is difficult to visualize posteriorly, a neuroendoscope may be used [49]. One of the technical difficulty of the posterior approach in ventrally situated neurenteric cyst is sudden shrinking of the cyst wall following partial excision.…”

“…One of the technical difficulty of the posterior approach in ventrally situated neurenteric cyst is sudden shrinking of the cyst wall following partial excision. It renders further excision of the cyst without extensive spinal cord retraction difficult [49]. Several authors have reported on the anterior approach for the removal of cervical neurenteric cysts (table 3) [4, 28, 49, 50, 51, 52].…”

“…It renders further excision of the cyst without extensive spinal cord retraction difficult [49]. Several authors have reported on the anterior approach for the removal of cervical neurenteric cysts (table 3) [4, 28, 49, 50, 51, 52]. Even though the anterior approach is technically difficult and complicated, it provides good visualization and facilitates safe removal of the lesion [28, 49].…”

“…Several authors have reported on the anterior approach for the removal of cervical neurenteric cysts (table 3) [4, 28, 49, 50, 51, 52]. Even though the anterior approach is technically difficult and complicated, it provides good visualization and facilitates safe removal of the lesion [28, 49]. Similarly, a lateral cervical approach has been used to excise lateral and anterior intradural lesions of the cervical spine [53].…”

“…The details of recurrent neurenteric cyst have been described in table 4. Despite long duration of symptomatic relief, these lesions can recur after several years, especially in patients with partial excision [49]. Chavda et al [29]reported a 37% recurrence in their 8 patients over a period of 30 years.…”