Neurenteric Cysts

Oliveira, Ricardo Santos de; Cinalli, Giuseppe; Sainte‐Rose, Christian; Machado, Hélio Rubens; Zérah, Michel

doi:10.1007/978-88-470-0651-5_37

Cited by 3 publications

(5 citation statements)

References 93 publications

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“…In the published pediatric literature, the cervical spine was the most common presenting location (36%). [ 6 ] In our review, we found the lower thoracic and thoracolumbar spine to be the most common location for intramedullary neurenteric cysts.…”

Section: Discussionmentioning

confidence: 99%

“…In the current published literature, the overall recurrence rate for neurenteric cysts after surgical resection varies from 11.6% to 37%. [ 6 23 ] To our knowledge, there is no published data on the recurrence rates of intramedullary neurenteric cysts. Of the 24 published cases with a follow-up MRI [ Table 1 ], six (25%) showed radiographic signs of recurrence at a mean follow up of 51 months.…”

Section: Discussionmentioning

confidence: 99%

“…[ 23 ] The cysts are lined by nonciliated epithelium that is simple or pseudostratified and cuboidal or columnar. [ 5 ] They are found to have a male predominance (60.4%) and present at a mean age of 6.4 years in the pediatric population[ 6 ] and in the second or third decades of life in the adult population. [ 23 ] The embryological origin is thought to be from an abnormal communication between the primitive neurenteric canal, notocord, and neural tube to the adjacent endoderm and mesenchyme during the third week of embryogenesis.…”

Section: Introductionmentioning

confidence: 99%

“…Typically, the cysts are intradural/extramedullary (78.6%) and usually arise from the cervical, cervicothoraric, and thoracic spine (73.6%). [ 6 ]…”

Section: Introductionmentioning

confidence: 99%

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Intramedullary neurenteric cyst associated with a tethered spinal cord: Case report and literature review

Vachhani¹,

Fassett²

2012

Surg Neurol Int

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Background:Neurenteric cysts are benign tumors of the central nervous system (CNS) that represent 0.3% to 0.5% of all spinal cord tumors. They are usually extramedullary and found in the lower cervical and thoracic spine. Only 12.2% of neurenteric cysts are documented to be intramedullary.Case Description:The authors report a case of a 35-year-old female that presented with progressive weakness and loss of coordination in her legs. Magnetic resonance imaging (MRI) showed an intramedullary cystic lesion in the thoracolumbar region and a low-lying conus medullaris suggesting tethered cord. The patient was taken to the operating room for detethering of her spinal cord and resection of the lesion. Pathologic examination of the tissue confirmed the diagnosis of a neurenteric cyst.Conclusion:A search of the literature since the advent of MRI showed 29 published cases of intramedullary neurentic cysts. Of the 24 published cases with a follow-up MRI, the average recurrence rate was 25% with a mean follow up of 51 months.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Typically, the cysts are intradural/extramedullary (78.6%) and usually arise from the cervical, cervicothoraric, and thoracic spine (73.6%). [ 6 ]…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Intramedullary neurenteric cyst associated with a tethered spinal cord: Case report and literature review

Vachhani¹,

Fassett²

2012

Surg Neurol Int

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“…There are no reports in the literature of recurrence after total removal of the lesion (8). The overall recurrence rate reported in the literature is 11.6%, which is attributed to partial resection of the cyst in all cases (9).…”

Section: #13mentioning

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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Neurosurgical management of neurenteric cysts in children

Al-Ahmed¹,

Boughamoura²,

Dirks³

et al. 2013

PED

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Object Neurenteric cysts (NCs) are endothelium-lined structures of presumed endodermal origin. There have been few pediatric series of intracranial NCs reported previously. The authors present their experience in the management of these lesions. Methods A retrospective chart review of all cases of NCs identified between 1977 and 2007 was carried out. Demographics, details of clinical presentation, surgical therapy, and outcome data were extracted. Results Eleven cases were identified, involving 6 girls and 5 boys. The patients' average age was 4.6 years (range 1 day–14 years). Limb weakness was the most common presenting symptom. The location of the cysts was cervical in 2 cases, cervicothoracic in 4 cases, and thoracic in 3 cases. One cyst was anterior to the pons with extension to the left cerebellopontine angle and 1 cyst was at the craniocervical junction. Five patients had an apparently complete initial excision, with 1 recurrence. Four patients were initially treated with incomplete excision and/or cyst drainage, usually into an Ommaya reservoir. A neonate with a large cervicothoracic cyst died of multiple congenital anomalies without any intervention. All other patients were alive at last follow-up. One patient with a radiologically identified presumed cyst, which remained stable, was simply followed up. Several patients required multiple procedures and 1 patient developed hydrocephalus after aseptic meningitis and was treated with CSF shunting. Conclusions Neurenteric cysts are rare in the pediatric population. Total resection, if possible, provides the best long-term outcome. Incomplete excision may lead to multiple procedures, including cyst drainage, but can lead to long-term stability.

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Neurenteric Cysts

Cited by 3 publications

References 93 publications

Intramedullary neurenteric cyst associated with a tethered spinal cord: Case report and literature review

Intramedullary neurenteric cyst associated with a tethered spinal cord: Case report and literature review

Thoracic Myelopathy Secondary to Intradural Extramedullary Bronchogenic Cyst

Neurosurgical management of neurenteric cysts in children

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