Endodermal Cyst of the Oculomotor Nerve: Case Report

Okunaga, Tomohiro; Tsutsumi, Keisuke; Hayashi, Tomayoshi; Nagata, Izumi

doi:10.1227/01.neu.0000210253.25288.f3

Cited by 15 publications

(13 citation statements)

References 23 publications

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“…13 To our knowledge, only 26 cases of intracranial neurenteric cysts, including the present case, have been identified in patients 18 years of age or younger (Table 1). 5,[8][9][10]12,14,16,17,20,21,[23][24][25][27][28][29][30][32][33][34] All of the pediatric cases previously reported in the literature involved children who presented with unilateral neurenteric cysts. Of the 25 patients, 10 were male and 15 were female; the patients' mean age was 7.27 years (range 1 day-18 years).…”

Section: Discussionmentioning

confidence: 99%

Staged bilateral far-lateral approach for bilateral cervicomedullary junction neurenteric cysts in a 10-year-old girl

Patel

Liu²

2013

PED

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Neurenteric cysts are rare and benign lesions that consist of ectopic alimentary tissue residing in the central nervous system. They tend to occur most frequently in an intraspinal rather than intracranial location. Intracranial neurenteric cysts are a rare occurrence in the pediatric population. These lesions typically present as unilateral cystic structures in the lower cerebellopontine angle and craniocervical junction. To the authors' knowledge, there have been no reported cases of bilateral localization of intracranial neurenteric cysts. In this report, they present an unusual case of a 10-year-old girl who was found to have bilateral intracranial neurenteric cysts at the pontomedullary junction. The patient was successfully treated with staged, bilateral far-lateral transcondylar resection of the cysts. The authors also provide a brief overview of the literature describing intracranial neurenteric cysts in children.

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Section: Discussionmentioning

confidence: 99%

Staged bilateral far-lateral approach for bilateral cervicomedullary junction neurenteric cysts in a 10-year-old girl

Patel

Liu²

2013

PED

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“…They have also been called neurenteric and enterogenous. Intracranial endodermal cysts are extremely rare, occurring on the ventral surface of the brainstem and exceptionally in the supratentorial compartment, mainly in the suprasellar region [1][2][3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…Third cranial nerve cysts have been reported in four studies [4][5][6][7]. Their pathoembriology still remains unknown and it is generally believed to result from failure of separation of neuroectodermal and endodermal elements in the first 3 weeks of embryogenesis [1][2][3].…”

Section: Discussionmentioning

confidence: 99%

“…Intracranial endodermal cysts are rare [1][2][3] and, in these instances, they are found in the midline of the posterior fossa, anterior brainstem, and suprasellar region. Third cranial nerve cysts are an exquisitely rare occurrence with only four cases described so far [4][5][6][7]. The authors describe a case of a third cranial nerve endodermal cyst, discuss its clinical picture, radiological nuances and clinical outcome.…”

Section: Introductionmentioning

confidence: 95%

“…It was negative for CK20, CDX-2 and TTF-1. Endodermal cyst was the definitive diagnosis [1,[3][4][5][6][7].…”

Section: Case Reportmentioning

confidence: 99%

See 2 more Smart Citations

Endodermal cyst of the third cranial nerve

Figueiredo

Neto

Marchiori

et al. 2012

Clinical Neurology and Neurosurgery

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Neurenteric cyst: an unusual cause of third nerve palsy

Wait

Choi²,

Teo³

2010

Childs Nerv Syst

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We describe the presentation, imaging features, surgical management, and postoperative course of a 5-year-old female with congenital third nerve paresis, worsening headaches, and a cyst of the third nerve. We performed an eyebrow incision and keyhole supraorbital craniotomy for exploration and subsequent resection of a neurenteric cyst that was densely involved with the third nerve at its exit from the midbrain. Postoperatively, she had chemical meningitis and complete third nerve palsy. This entity is extremely rare in this location but should be included in the differential. We summarize the current literature on these lesions and recommend biopsy and fenestration as surgical treatment.

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Endodermal Cyst of the Oculomotor Nerve: Case Report

Abstract: Intracranial endodermal cysts are rare, particularly when associated with the cranial nerves. To our knowledge, this is the second case of endodermal cyst located on the oculomotor nerve. A detailed discussion and review of these case reports are presented.

Cited by 15 publications

References 23 publications

Staged bilateral far-lateral approach for bilateral cervicomedullary junction neurenteric cysts in a 10-year-old girl

Staged bilateral far-lateral approach for bilateral cervicomedullary junction neurenteric cysts in a 10-year-old girl

Endodermal cyst of the third cranial nerve

Neurenteric cyst: an unusual cause of third nerve palsy

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