Intramedullary glioependymal cyst and tethered cord in an infant

Balasubramaniam, Chidambaram; Balasubramaniam, V.; Santosh, Vani

doi:10.1007/s00381-003-0902-2

Cited by 15 publications

(14 citation statements)

References 4 publications

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“…In infancy, they have presented as meningitis-like syndrome and communicating hydrocephalus that resolved after cyst removal, probably due to rupture of the cyst into the subarachnoid space or the central canal. In late childhood and adulthood, they usually present with associated anterior or posterior spinal dysraphic abnormalities [1, 2]. They can remain indolent until the seventh decade of life.…”

Section: Discussionmentioning

confidence: 99%

“…They comprise 0.7–1.3% of all spinal cord tumors, occur 1.5–3 times more often in men compared with women [1, 2] and usually manifest in the second or third decades of life. Most spinal neurenteric cysts (about 95%) are extramedullary in location and are more often situated ventrally than dorsally but may insinuate into the spinal cord.…”

Section: Discussionmentioning

confidence: 99%

“…They are rare congenital lesions, which are far more frequently found in the spine than in the skull, brain or skullbase. There are also rare case reports of cerebellopontine angle, medulla oblongata, lateral ventricles and fourth ventricle location [1, 2]. They are known by different terminologies in the literature, including enteric cyst, enterogenous or endodermal cyst.…”

Section: Introductionmentioning

confidence: 99%

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Intramedullary Cervical Neurenteric Cyst Mimicking an Abscess

Muzumdar¹,

Bhatt²,

Sheth³

2007

Pediatr Neurosurg

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We describe a cervical intramedullary neurenteric cyst in a 12-year-old male patient who presented with gradual onset and progressively worsening neck pain, spastic quadriparesis and impaired sensation in the C₂ dermatome. MR imaging revealed a well-defined peripherally enhancing cystic intramedullary lesion with a posteroinferior enhancing nodule at the C₂–C₃ level mimicking an abscess. There was no evidence of spinal dysraphism. The lesion was completely resected through a posterior approach and the patient showed radical improvement in his symptomatology. At follow-up after 3 years, he was asymptomatic and the MR imaging showed no evidence of any residual or recurrent cyst. The case presented here is unique, since a spinal neurenteric cyst showing intense peripheral contrast enhancement mimicking an abscess is unusual. The radiological features, pathogenesis and surgical considerations in cervical intramedullary neurenteric cysts are discussed and the relevant literature is briefly reviewed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Intramedullary Cervical Neurenteric Cyst Mimicking an Abscess

Muzumdar¹,

Bhatt²,

Sheth³

2007

Pediatr Neurosurg

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“…Glio-ependymal cysts, also known as neuroepithelial cysts, are thought to arise from ectopic rests of primitive neuroglial tissue, and hence, can arise anywhere in the neuraxis [2,3] [ Table 1]. Generally, these cysts present in the second or third decade, [4] but have been reported at all ages and even in intrauterine period.…”

Section: Discussionmentioning

confidence: 99%

Contrasting behavior of glio-ependymal cysts: A report of two cases and literature review

et al. 2010

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Cystic lesions of the brain may present with seizures or headache due to raised intracranial pressure. These cysts when associated with developmental brain anomalies may turn out to be pathologic surprises. In the present communication, two patients with glio-ependymal cysts were described with contrasting symptomatologies and surgical management. Non-enhancing cystic lesions of the brain, without mural nodule, may turn out to be glio-ependymal cysts, requiring total surgical excision or marsupilization.

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“…[1][2][3] Their association with other congenital lesions (e.g, tethered cord) is still rarer. [4,5] It originates from the ectopic ependymal cells situated parallel to the central canal during the development of the spinal axis along the spinal column. [6,7] In the brain, the common location of the cyst is paraventricular white matter of frontal and parietal lobes.…”

Section: Introductionmentioning

confidence: 99%

Spinal intramedullary glioependymal cyst presented with paraplegia in an adult

Mittal¹,

Gupta²,

Gandhi

et al. 2017

IJNS

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A 38 year old male patient presented with progressive weakness of both lower limbs with bladder and bowel dysfunction since last 1.5 months. On examination, bulk was normal, hypertonia was there in both lower limbs, power was 0/5 at hip, knee and ankle, deep tendon reflexes were brisk with patellar and ankle clonus present. Babinsky was present bilaterally and there was a loss of fine touch, crude touch, pain and temperature sensation below D12 level.Magnetic resonance image showed well defined cystic lesion of size 10mm × 8mm, present at D11-D12 level, appearing hypointense on T1W1 and hyperintense on T2W1 [ Figures 1 and 2]. Contrast study revealed smooth peripheral enhancement and perilesional edema from D8 to D12 level. During the surgery, D11-D12 laminectomy was done and dura opened in the midline. Adhesions were found between dura and cord. Midline dorsal myelotomy was done. An intramedullary, greyish white, partly cystic mass found, which was soft to firm in consistency, moderately vascular, nonsuckable and densely adhered to cord parenchyma. There was no definite plane of cleavage found between cystic mass and cord. Fenestration and decompression of the cyst was done and biopsy taken from the cyst wall [ Figure 3]. Dura was closed in a water tight fashion.

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Intramedullary glioependymal cyst and tethered cord in an infant

Cited by 15 publications

References 4 publications

Intramedullary Cervical Neurenteric Cyst Mimicking an Abscess

Intramedullary Cervical Neurenteric Cyst Mimicking an Abscess

Contrasting behavior of glio-ependymal cysts: A report of two cases and literature review

Spinal intramedullary glioependymal cyst presented with paraplegia in an adult

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