Thoracic Myelopathy Secondary to Intradural Extramedullary Bronchogenic Cyst

Arnold, Paul M.; Neff, Laura; Anderson, Karen K.; Reeves, Alan; Newell, Kathy L.

doi:10.1080/10790268.2009.11754568

Cited by 16 publications

(11 citation statements)

References 7 publications

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“…It demonstrated ciliated columnar cells, which is consistent with respiratory epithelium, and was therefore classified as a bronchogenic cyst. The dorsal location of this thoracic-level cyst differs from the several reports, which showed the typical location of solitary neurenteric cysts at the ventral cervical spine region [1].…”

Section: Classificationcontrasting

confidence: 89%

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Classification, mechanism and surgical treatments for spinal canal cysts

Sun

2016

Chin Neurosurg Jl

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A variety of cystic lesions may develop in spinal canal. These cysts can be divided into intramedullary, intradural, extradural, cervical, thoracic, lumbar, and sacral cysts according to anatomical presentation, as well as arachnoid, meningeal, perineural, juxtafacet, discal, neurenteric cysts, and cyst-like lesions according to different etiologies. Mechanisms of initiation and growth vary for different cysts, such as congenital, trauma, bleeding, inflammatory, instability, hydrostatic pressure, osmosis of water, secretion of cyst wall, and one-way-valve effect, etc. Up to now, many treatment methods are available for these different spinal canal cysts. One operation method can be applied in cysts with different types. On the other hand, several operation methods may be utilized in one type of cyst according to the difference of location or style. However, same principle should be obeyed in surgical treatment despite of difference among spinal canal cysts, given open surgery is melely for symptomatic cyst. The surgical approach should be tailored to the individual patient.

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Section: Classificationcontrasting

confidence: 89%

“…Vertebral anomalies, more commonly seen at the lumbosacral level, are often associated with the split notochord syndrome. Bronchogenic cysts grow slowly owing to tight junctions between epithelial cells, limiting expansion of the cyst [1].…”

Section: Mechanismmentioning

confidence: 99%

Classification, mechanism and surgical treatments for spinal canal cysts

Sun

2016

Chin Neurosurg Jl

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“…Neuroenteric cysts are a more common type of endodermal cyst than the bronchogenic variety accounting for 0.7-1.3% of all spinal cord tumours 1 . Endodermal cysts are described as a combination of gastrointestinal and/or respiratory type epithelium with the absence of other germinal layers including non-intestinal components, a vertebral anomaly, and a classical cervical or upper thoracic location 2,3 . A lesion is termed as a bronchogenic cyst if the endodermal lining is predominated with respiratory tract epithelium with pseudo stratified ciliated columnar epithelia that is normally found in the tracheo-bronchial tract.…”

Section: Discussionmentioning

confidence: 99%

“…A clinical diagnosis of involvement of D9 spinal level lesion was made. Magnetic resonance imaging (MRI) of the dorsolumbar spine showed an intradural extramedullary ventrally placed lesion at the D8-D9 vertebral level with significant compression of the spinal cord [ Figure 1, 2,3]. The lesion appeared hyperintense on T2W image with no contrast enhancement and with significant compression and shifting of the cord to the left.…”

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confidence: 99%

Bronchogenic Intraspinal Cyst-A Rare Case of Spinal Cystic Space Occupying Lesion

Das

Islam

Zahan

et al. 2020

Bangla J. Neurosurgery

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A 55 year old female patient presented with progressive back pain of 6 month duration,aggravated on lying down, associated with weakness and numbness of the bothlower limbs for since 4 months. On neurological examination, the tone was foundincreased in both the lower limbs with a subjective power of grade 3/5 in both thelower limbs. Ankle and knee jerks were brisk with hypoaesthesia below D12dermatomes bilaterally, plantars were extensor. A clinical diagnosis of involvement ofD9 spinal level lesion was made. Magnetic resonance imaging (MRI) of the dorsolumbarspine showed an intraduralextramedullary ventrally placed lesion at the D8–D9 vertebral level with significant compression of the spinal cord [Figure 1, 2, 3]. Thelesion appeared hyperintense on T2W image with no contrast enhancement and withsignificant compression and shifting of the cord to the left. After preoperative routinehematological investigations, she underwent operation by laminectomy of D8–D9vertebrae and total excision of the cystic lesion was performed [Figure 4, 5]. Histologicalexamination revealed respiratory type pseudostratified ciliated columnar cells and apathological diagnosis of bronchogenic cyst was rendered [Figure 6]. The patient hadan uneventful postoperative period with subjective improvement of her symptomswith reduced spasticity & improvement of motor grade to 4/5 in both lower limbs. Bang. J Neurosurgery 2020; 9(2): 146-150

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“…Several case reports of SBCs suggested that the lesions enlarge slowly and lead to pain, numbness, weakness of limbs or back and even paralysis when they compress the nerve roots or spinal cord. [3][4][5][6][7][8] None of the complications secondary to ruptured cysts were reported, such as chemical meningitis, abscess formation, and hydrocephalus. It is difficult to make the correct diagnosis before surgery due to its extremely low morbidity and non-typical signs, symptoms and imaging findings.…”

Section: Introductionmentioning

confidence: 99%

Intraspinal bronchogenic cyst: Series of case reports and literature review

Niu

et al. 2017

The Journal of Spinal Cord Medicine

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Purpose: Spinal bronchogenic cysts (SBCs) are rare congenital lesions. The clinical and imaging characteristics and treatment of SBCs are not well known. We studied three cases of SBCs retrospectively, which were registered in our department and analyzed eight case reports which were all published in English, focusing on providing a deeper knowledge of SBCs. Methods: Three patients with SBCs registered in our department were retrospectively reviewed. Eight reported SBCs cases published from 1992 to 2015 were enrolled in our study. Imaging diagnosis was confirmed by computed tomography (CT), MRI, and computed tomography angiography (CTA). All of our patients and reviewed cases had undergone surgical resection and the final diagnosis was made by pathological examination. Results: Five lesions were located at the cervical spinal canal. Most patients presented with pain in the limbs and back, which might be related to compression of the spinal cord and the reduced blood supply of the anterior spinal artery. The signal intensity on MRI was correlated with cystic fluid traits to a large extent. Seven lesions were partially removed because of the adhesions to the nearby spinal cord. All reported cases had no recurrence in the later follow-up. Conclusions: SBCs can occur anywhere in the spinal canal, but they are more likely to present at the cervical canal and might be present along with some developmental malformations of the spine. We emphasize the role of CT and MRI findings in the disease diagnosis. It is recommended that the lesion should be removed as completely as possible.

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Thoracic Myelopathy Secondary to Intradural Extramedullary Bronchogenic Cyst

Cited by 16 publications

References 7 publications

Classification, mechanism and surgical treatments for spinal canal cysts

Classification, mechanism and surgical treatments for spinal canal cysts

Bronchogenic Intraspinal Cyst-A Rare Case of Spinal Cystic Space Occupying Lesion

Intraspinal bronchogenic cyst: Series of case reports and literature review

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