Upper Cervical Bronchogenic Cyst: A Rare Condition at a Rare Location

Jha, Ranjeet Kumar; Mohanty, Chandan; Deopujari, Chandrashekhar; Shaikh, Salman

doi:10.4103/jnrp.jnrp_436_17

Cited by 2 publications

(2 citation statements)

References 10 publications

(16 reference statements)

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“…MRI characteristics usually showed homogenous and hyperintense on T2WI and hypointense on T1WI ( 17 , 19 ). But enhancement was rarely after gadolinium infusion ( 11 , 18 ). According to the MRI features provided in the previous studies and the patients in our hospital, we suggested that lesions with hypointense on T1WI and hyperintense on T2WI was more common.…”

Section: Discussionmentioning

confidence: 99%

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Impact of the Extent of Surgical Resection on Patients With Intradural Extramedullary Bronchogenic Cysts: A Retrospective Institutional Experience and Review of the Literature

Liu

Wang

et al. 2021

Front. Neurol.

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Intradural extramedullary bronchogenic cysts (IEBC) are rare congenital cystic lesions. The clinical manifestations, radiological characteristics, especially the optimal treatment regimen are not well-understood. We retrospectively analyzed a series of patients with confirmed IEBC in Tangdu hospital and reviewed the published works to gain a comprehensive understanding of IEBC. In our institution, nine consecutive patients had pathologically confirmed IEBC between 2005 and 2018. We also identified 27 patients from previous studies. The most common presentations on magnetic resonance imaging (MRI) were hypointensity on T1-weighted images (T1WI), hyperintensity on T2-weighted images(T2WI), and no improvement on T1WI contrast-enhanced with gadolinium (94.4%). All patients in our center and the patients we reviewed received surgical resection; gross total resection (GTR) and partial resection (PR) were achieved in 20 (55.6%) and 16 (44.4%) patients, respectively. The symptom remission rate of patients who underwent GTR was 100%, which was similar to those who underwent PR (93.8%) (P = 0.457). The recurrence rate was 12.5% in the group who underwent PR and nil after GTR (P = 0.202). According to our current investigation, the surgical resection degree is irrelevant to the symptom remission rate. Therefore, we suggest that total resection should not be recommended for cases with tight adhesion. For patients with PR, longer follow-up will be necessary to determine the long-term outcome.

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Section: Discussionmentioning

confidence: 99%

“…A total of 27 patients were identified from the literature (1,(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19), pooled with the nine new patients described above. Table 2 shows the patient clinical baseline characteristics and radiologic findings for all 36 patients.…”

Section: Comprehensive Demographics Datamentioning

confidence: 99%

Impact of the Extent of Surgical Resection on Patients With Intradural Extramedullary Bronchogenic Cysts: A Retrospective Institutional Experience and Review of the Literature

Liu

Wang

et al. 2021

Front. Neurol.

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Large intramedullary bronchogenic cyst of the cervical spine: illustrative case

Patel²,

Darbonne³

et al. 2021

Journal of Neurosurgery: Case Lessons

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BACKGROUNDSpinal bronchogenic cysts are rare entities arising from errors in embryogenesis and consisting of respiratory epithelial cells. To date, there are three other published accounts of intramedullary cysts, which were partially resected and thereby warrant close follow-up and monitoring. The authors present an illustrative case of a patient presenting with Klippel-Feil anomaly and a large intramedullary bronchogenic cyst in the upper cervical spine.OBSERVATIONSThe authors noted fusion of the C5–6 laminae as they performed the C2–6 laminectomy. After dural opening, an intramedullary lesion with a smooth, fibrous component emerging from the dorsal spinal cord was immediately observed. The dorsal spinal columns were not involved with this cyst wall or the other smaller cysts, which all contained gray fluid. The cyst walls were partially resected and sent for pathological examination.LESSONSSpinal developmental cysts are associated with other anatomical anomalies, such as Klippel-Feil anomaly, arising from errors in embryogenesis. For intramedullary lesions such as this patient’s bronchogenic cyst, partial resection and decompression are the goals of surgery because aggressive debulking may lead to neurological compromise. Close imaging follow-up is warranted.

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Upper Cervical Bronchogenic Cyst: A Rare Condition at a Rare Location

Cited by 2 publications

References 10 publications

Impact of the Extent of Surgical Resection on Patients With Intradural Extramedullary Bronchogenic Cysts: A Retrospective Institutional Experience and Review of the Literature

Impact of the Extent of Surgical Resection on Patients With Intradural Extramedullary Bronchogenic Cysts: A Retrospective Institutional Experience and Review of the Literature

Large intramedullary bronchogenic cyst of the cervical spine: illustrative case

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