An acute case of paraplegia spinal bronchogenic cyst

Liu, Qing-Peng; Zhang, Jiannan; Zhang, Lei; Han, Zhu; Ma, Jun; Zhou, Can; Sun, Chongyi

doi:10.1007/s00776-014-0554-y

Cited by 7 publications

(5 citation statements)

References 14 publications

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“…This entity represents a subtype of neurenteric cysts covered with respiratory tract epithelium. [6] The definitive pathogenesis of bronchogenic cysts is currently unclear, whereas 3 theories have been proposed. The 1st hypothesis postulated by Rhaney et al proposed that the bronchogenic cysts are originated from ectoderm, which has potential to differentiate into both endoderm and paraxial mesoderm.…”

Section: Discussionmentioning

confidence: 99%

“…Liu et al concluded that spinal bronchogenic cysts are usually hypointense on T1-weighted imaging and hyperintense on T2-weighted imaging. [6] Furthermore, some scholars found the density of spinal bronchogenic cysts on computed tomography (CT) and intensity on MRI may be variable, which are associated with the protein concentration of the cystic contents. [22,23] Our literature review indicates that spinal bronchogenic cysts predominately manifest as hypo- to isointensity on T1-weighted imaging and homogeneous or heterogeneous hyperintensity on T2-weighted imaging.…”

Section: Discussionmentioning

confidence: 99%

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Intramedullary bronchogenic cyst in the foramen magnum region accompanied with syringomyelia

et al. 2019

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Rationale: Bronchogenic cysts refer to congenital anomalies derived from the primitive foregut. Spinal bronchogenic cysts are uncommon entities, and those occurring in the intramedullary sites are extremely rare. Bronchogenic cysts involving the foramen magnum region have only been described in 2 cases; however, intramedullary bronchogenic cysts with syringomyelia have not yet been reported. Patient concerns: A 46-year-old woman presented with a 6-month history of pain in the posterior neck region and a 1-month history of numbness in the upper extremities. Neurological examination revealed a loss of sensation in bilateral upper extremities and sensory dissociation. Magnetic resonance imaging (MRI) showed an intramedullary cystic lesion in the foramen magnum region and syringomyelia. Diagnosis: Histopathological findings were consistent with a bronchogenic cyst. Interventions and outcomes: A surgical resection of the cystic lesion was performed via a posterior midline approach. Under neurophysiological monitoring, the cyst was punctured, yielding gelatinous liquid. The dorsal part of the cystic wall was removed. One month postoperatively, the symptoms were resolved completely. Three months after operation, MRI showed no recurrence of the cyst and the syringomyelia disappeared. Lessons: Intramedullary bronchogenic cysts with syringomyelia are extremely rare. Preoperative identification is challenging and definitive diagnosis depends on histopathological evidence. Timely surgical resection should be highlighted.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intramedullary bronchogenic cyst in the foramen magnum region accompanied with syringomyelia

et al. 2019

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“…A total of 27 patients were identified from the literature (1,(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19), pooled with the nine new patients described above. Table 2 shows the patient clinical baseline characteristics and radiologic findings for all 36 patients.…”

Section: Comprehensive Demographics Datamentioning

confidence: 99%

Impact of the Extent of Surgical Resection on Patients With Intradural Extramedullary Bronchogenic Cysts: A Retrospective Institutional Experience and Review of the Literature

Liu

Wang

et al. 2021

Front. Neurol.

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Intradural extramedullary bronchogenic cysts (IEBC) are rare congenital cystic lesions. The clinical manifestations, radiological characteristics, especially the optimal treatment regimen are not well-understood. We retrospectively analyzed a series of patients with confirmed IEBC in Tangdu hospital and reviewed the published works to gain a comprehensive understanding of IEBC. In our institution, nine consecutive patients had pathologically confirmed IEBC between 2005 and 2018. We also identified 27 patients from previous studies. The most common presentations on magnetic resonance imaging (MRI) were hypointensity on T1-weighted images (T1WI), hyperintensity on T2-weighted images(T2WI), and no improvement on T1WI contrast-enhanced with gadolinium (94.4%). All patients in our center and the patients we reviewed received surgical resection; gross total resection (GTR) and partial resection (PR) were achieved in 20 (55.6%) and 16 (44.4%) patients, respectively. The symptom remission rate of patients who underwent GTR was 100%, which was similar to those who underwent PR (93.8%) (P = 0.457). The recurrence rate was 12.5% in the group who underwent PR and nil after GTR (P = 0.202). According to our current investigation, the surgical resection degree is irrelevant to the symptom remission rate. Therefore, we suggest that total resection should not be recommended for cases with tight adhesion. For patients with PR, longer follow-up will be necessary to determine the long-term outcome.

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“…Interestingly, acute onset paraplegia has also been described in a case of T5–6 vertebral level SBC. [ 6 ] Surgical excision of the SBC is the treatment of choice. Good neurological recovery following surgery has been reported in literature.…”

Section: Introductionmentioning

confidence: 99%

Upper Cervical Bronchogenic Cyst: A Rare Condition at a Rare Location

Jha

Mohanty

Deopujari

et al. 2018

Journal of Neurosciences in Rural Practice

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Intraspinal bronchogenic cyst (SBC) is a rare but important cause of spinal cord compression, commonly seen in the cervicothoracic spine. We report a case of a 43-year-old male, presenting with complaints of neck pain, radiating to right shoulder, with numbness of right hand and fingers. Magnetic resonance imaging of the cervical spine revealed an intradural extramedullary, ventral cystic lesion extending from C2 to C4 vertebral levels. Complete surgical excision was performed, and the patient had a complete relief of symptoms postoperatively. Only 11 cases of SBCs have been reported in literature. We discuss the peculiar location of this lesion, possible embryological reasons and the overall surgical outcome of SBC.

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An acute case of paraplegia spinal bronchogenic cyst

Cited by 7 publications

References 14 publications

Intramedullary bronchogenic cyst in the foramen magnum region accompanied with syringomyelia

Intramedullary bronchogenic cyst in the foramen magnum region accompanied with syringomyelia

Impact of the Extent of Surgical Resection on Patients With Intradural Extramedullary Bronchogenic Cysts: A Retrospective Institutional Experience and Review of the Literature

Upper Cervical Bronchogenic Cyst: A Rare Condition at a Rare Location

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