Enterogenous cysts and congenital diverticula of the alimentary canal with abnormalities of the vertebral column and spinal cord

Rhaney, K.; Barclay, G. P. T.

doi:10.1002/path.1700770217

Cited by 101 publications

(28 citation statements)

References 14 publications

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“…Spinal neurenteric cysts commonly manifest during the second and third decades of life. However, they can manifest soon after birth or during neonatal period if they are associated with severe cardiopulmonary abnormalities [7, 16, 17]. In rare cases, they may remain indolent until the seventh decade of life [18].…”

Section: Discussionmentioning

confidence: 99%

Spinal Neurenteric Cyst

Shenoy¹,

Raja²

2004

Pediatr Neurosurg

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Neurenteric cysts are rare congenital lesions of the spine that are lined with entodermal epithelium. We describe 4 unusual cases of neurenteric cysts in patients aged between 3 and 16 years. The cyst was situated anteriorly in 3 patients and posteriorly in 1. All the patients had varied clinical and radiological features. The child with dorsal neurenteric cyst had stigmata of spinal dysraphism along with other vertebral anomalies. Another child had an associated syringomyelia along with evidence of severe arachnoiditis. All 4 patients underwent laminectomy and total microsurgical excision of the cysts through a posterior approach. The patient with diastematomyelia developed early recurrence of the cyst and underwent reoperation. Three patients showed an excellent recovery after surgery. The child with arachnoiditis failed to recover neurologically.

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Section: Discussionmentioning

confidence: 99%

Spinal Neurenteric Cyst

Shenoy¹,

Raja²

2004

Pediatr Neurosurg

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“…The pathogenesis is not completely understood, and 3 main hypotheses have been proposed. One theory suggests the possibility of an ecto-endodermal adhesion, which results in incomplete separation of germ cell layers (5). A second theory suggests that the cyst originates from ectoderm, which is capable of producing both endodermal and mesodermal tissues (5).…”

Section: Case Reportmentioning

confidence: 99%

“…One theory suggests the possibility of an ecto-endodermal adhesion, which results in incomplete separation of germ cell layers (5). A second theory suggests that the cyst originates from ectoderm, which is capable of producing both endodermal and mesodermal tissues (5). A third theory, the split notochord syndrome postulated by Bentley and Smith (6), describes an incomplete duplication and separation of the notochord that leads to a ventral herniation through the notochord, resulting in a fistula.…”

Section: Case Reportmentioning

confidence: 99%

Thoracic Myelopathy Secondary to Intradural Extramedullary Bronchogenic Cyst

Arnold

Neff

Anderson

et al. 2009

The Journal of Spinal Cord Medicine

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Background/Objective: To report a case of thoracic myelopathy secondary to intradural extramedullary bronchogenic cyst. Study Design: Case report. Methods/Findings: A 20-year-old man presented to the emergency department with increasing back pain and lower-extremity weakness. Magnetic resonance imaging demonstrated a cystic lesion at the T4 level with mass effect on the spinal cord. Results: The lesion was resected, and histopathologic evaluation showed a cyst lined by respiratory-type epithelium consistent with a bronchogenic cyst. Conclusions: Intradural extramedullary bronchogenic cysts of the thoracic spine have been reported previously but are extremely rare. The treatment of choice is surgical resection.

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“…Rhaney and Barclay 47 suggested that aberrant intercalation or excalation of the notochord could lead to strands of endodermal remnants that could traverse a secondarily split notochord.…”

Section: Embryological Developmentmentioning

confidence: 99%

Spinal neurenteric cysts and their relation to more common aspects of occult spinal dysraphism

Rauzzino¹,

Tubbs²,

Alexander³

et al. 2001

FOC

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Object Neurenteric cysts are infrequently reported congenital abnormalities believed to be derived from an abnormal connection between the primitive endoderm and ectoderm. The authors report a series of 13 patients treated over a 50-year period. Methods Of the 13 patients, seven were female and six were male. Their ages at presentation ranged widely from 5 weeks to 52 years of age. Children presented more commonly with cutaneous stigmata of occult spinal dysraphism (OSD) whereas adults presented primarily with pain. Neurological deficit as a presenting symptom was less common in our series, a finding that reflects the slow growth of these lesions. In all but one patient some form of vertebral anomaly was associated with the cystic lesions, including two patients with Klippel–Feil abnormalities. There was a high incidence of associated forms of OSD including split cord malformation, lipoma, dermal sinus tract, and tethered spinal cord. In previous reports the authors have suggested that neurenteric cysts are more common in the cervical region and in a position ventral to the cord. In the present series these cysts most commonly occurred as intradural, extramedullary masses in the thoracolumbar region, situated dorsal to the spinal cord. The median follow-up period was 7.5 years, and postoperative outcome reflected a patient's preoperative neurological status; in no patient was outcome worsened due to surgery. Conclusions Complete excision of the neurenteric cyst remains the treatment of choice, as subtotal excision is associated with recurrence.

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Enterogenous cysts and congenital diverticula of the alimentary canal with abnormalities of the vertebral column and spinal cord

Cited by 101 publications

References 14 publications

Spinal Neurenteric Cyst

Spinal Neurenteric Cyst

Thoracic Myelopathy Secondary to Intradural Extramedullary Bronchogenic Cyst

Spinal neurenteric cysts and their relation to more common aspects of occult spinal dysraphism

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