Enterogenous intraspinal cysts

Agnoli, A; Laun, A.; Schönmayr, R.

doi:10.3171/jns.1984.61.5.0834

Cited by 127 publications

(75 citation statements)

References 56 publications

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“…6) Therefore, the surgical strategy concerning the approach route and extent of removal of the cyst wall remains controversial. Tables 1 and 2 show a summary of previous cases of endodermal cysts treated via the posterior 1,4,13,15,17,18,20,21,23) or anterior approach 2,3,5,6,8,9,11,14,16,19) including the present case. Three of 4 cases of recurrence of the cyst were treated via the posterior approach, and the other case was treated via the anterior approach though the intervertebral disc space.…”

Section: Discussionmentioning

confidence: 99%

“…Such cysts are generally located ventral to the spinal cord, and were mainly treated surgically via an anterior 2,3,5,6,8,9,11,14,16,19) or posterior approach. 1,4,13,15,17,18,20,21,23) However, these techniques have not been directly compared, and the surgical indications and strategy for such cysts remain controversial. We describe a case of cervical ventral endodermal cyst treated successfully by anterior corpectomy and discuss the associated benefits of this approach.…”

Section: Introductionmentioning

confidence: 99%

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Ventral Intradural Endodermal Cyst in the Cervical Spine Treated With Anterior Corpectomy -Case Report-

Itō

Aoyama

Kiuchi

et al. 2011

Neurol. Med. Chir.(Tokyo)

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A 14-year-old girl who presented with an endodermal cyst manifesting as severe neck and shoulder pain along with vesicorectal disturbances. Cervical magnetic resonance imaging showed a slightly enhanced intradural cyst at the C6-7 level in the ventral side of the spinal canal, with significant dorsal shortening and thinning of the spinal cord. Anterior corpectomy was chosen because of the dorsal effacement of the spinal cord. The cyst wall was subtotally removed to avoid damage to the normal spinal cord. After cyst removal, the iliac bone and an anterior cervical plate were used for anterior fusion. Postoperatively, her pain subsided without neurological deficits. The histological diagnosis was endodermal cyst. The cyst did not recur during a follow-up period of 18 months. Endodermal cysts are rare congenital lesions of the spine lined by endodermal epithelium. The natural history of this lesion is unclear, and the surgical strategy for the approach route and the extent of removal of the cyst wall remain controversial. We suggest that the anterior approach may allow a safer and more effective surgical route for the treatment of ventrally located endodermal cyst compared to the posterior approach.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ventral Intradural Endodermal Cyst in the Cervical Spine Treated With Anterior Corpectomy -Case Report-

Itō

Aoyama

Kiuchi

et al. 2011

Neurol. Med. Chir.(Tokyo)

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“…Some authors have cited their associations with vertebral and spinal cord abnormalities as evidence of origin from displaced embryonic endodermal elements (1,10). Others, citing the midline location, have suggested a teratomatous origin (8).…”

Section: Discussionmentioning

confidence: 99%

“…Enterogenous cysts typically present with spinal cord or cranial nerve compression and are rare, nonneoplastic intradural mass lesions occurring in childhood or early adulthood (5,9). Vertebral and spinal cord abnormalities are frequently seen in cases of cysts involving the spinal canal, and these cysts may communicate with extraspinal cysts anterior to the spine (1,13). The cysts are typically lined by columnar mucinproducing epithelium resembling enteric epithelium or columnar ciliated epithelium resembling respiratory epithelium, and are usually 1 cm or less in size.…”

Section: Introductionmentioning

confidence: 99%

Reccurent lumbar spinal intradural enterogenous cyst : a case report

Arslan¹,

Çakır²,

Kuzeylı³

et al. 2009

Turkish Neurosurgery

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Enterogenous cysts mostly present in the cervical and thoracic region of the spinal canal and have only rarely been observed in the lumbar region. We report here a case of a recurrent enterogenous cyst in the lumbar spinal canal. A 24-yearold woman presented with lower back and left radicular leg pain for 1 year. She had been operated on for mass lesion at the same level 10 years ago. Lumbar spine MRI showed a large intradural cyst at L2. Other congenital abnormalities were absent. The cyst was subtotally removed and the patient recovered well. Pathological examination revealed that the lesion was a typical enterogenous cyst. KEYWORDS: Enterogenous cyst, Neuroenteric cyst, Spinal cord ÖZEnterogenoz kistler sıklıkla spinal kanalda servikal ve torakal bölgelerde yerleşimli olup çok nadiren lomber bölge yerleşimi bildirilmiştir. Lomber spinal kanalda rekürran enterogenoz kistli bir olguyu sunmaktayız. 24 yaşında kadın hasta 1 yıldır mevcut olan bel ve sol radiküler bacak ağrısı şikayetiyle başvurdu. Hasta aynı seviyeden kitle nedeniyle 10 yıl önce opere edilmişdi. Lomber spinal MRG , L2 seviyesinde büyük bir intradural kisti gösterdi. Diğer konjenital anomaliler mevcut değildi. Kist subtotal olarak çıkartıldı ve hasta iyileşti. Patolojik değerlendirmede lezyonun tipik bir enterogenoz kist olduğu açığa çıktı.

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“…1,5,6,10 Most of these cysts are found with intradural extramedullary location and intramedullary lesions are very rare. 1,7,11 About half of these cases are associated with spinal deformities such as spina bifida, hemivertebra and vertebral fusion.…”

Section: Discussionmentioning

confidence: 99%