TITLE

Cervical intramedullary neurenteric cyst in a child

AUTHOR(S)
Bansal, Nikhil; Joshi, Gauri
PUB. DATE
July 2007
SOURCE
Journal of Pediatric Neurosciences;Jul-Dec2007, Vol. 2 Issue 2, p102
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Neurenteric cyst is a rare congenital malformation, which originates through adhesions or communication between the neuro-ectoderm and endoderm during the third gestational week. The most common location is the cervicodorsal region followed the as medullaris area. It is usually intradural, extramedullary lying ventrally to the spinal cord. Intramedullary neurenteric cysts have been reported in fewer than 5% of all neurenteric cysts. Neurenteric cysts are best treated by decompression and as near total excision of cyst membrane as possible. CASE REPORT: A 3 yr old male patient presented with severe pain on neck movements for 3-4 months. He also had a history of excessive crying for the past 2 yrs. He had a history of episodes of spasticity (locking of the limbs). Magnetic resonance Imaging (MRI) revealed a large well defined ovoid intramedullary cystic lesion causing marked focal expansion of the cord from C2-C6. A preoperative diagnosis of neurenteric cyst/ependymal cyst was made. C2-6 laminotomy and total excision of the cyst was done. There was some soft tissue (muscle) coming out of the cyst wall and attaching to the lamina. There was a good plane between the cyst and the spinal cord. Intra cystic fluid was found to be mucoid, grayish suggestive of neurenteric cyst. Post operatively patient's symptoms improved and he did not have any neurological deficit. CONCLUSION: Neurenteric cyst should be considered as a differential diagnosis of spinal tumors which occur in children. If a good plane is present, total excision can be achieved, thereby having a good prognosis.
ACCESSION #
27450646

 

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