American Journal of Clinical Neurology and Neurosurgery
Articles Information
American Journal of Clinical Neurology and Neurosurgery, Vol.1, No.2, Sep. 2015, Pub. Date: Aug. 5, 2015
Giant, Ventral, Cervical Spinal Neurenteric Cyst Presenting with Acute-Onset Quadriparesis – Surgical Management and Discussion
Pages: 74-76 Views: 2815 Downloads: 897
Authors
[01] Ribhav Pasricha, Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
[02] Guru Dutta Satyarthee, Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
[03] Bhawani Shankar Sharma, Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Abstract
A giant, ventrally placed cervical spinal neurenteric cyst in a pediatric patient presented with acute onset quadriparesis. Magnetic resonance imaging showed a large cyst in the cervical spine lying ventral to the cord at C2-C3 levels and causing severe cord compression. Cyst decompression surgery involved laminoplasty, cyst drainage and wall excision with minimal cord retraction. The procedure resulted in immediate improvement of muscle power in all four limbs of the patient. Ventrally placed intradural lesions in the cervical spinal cord can be a surgical challenge and the decision between the appropriate anterior or posterior approach should be made on the individual patients clinical and radiological profile.
Keywords
Pediatric Spinal Tumors, Spinal Tumors, Neurenteric Cyst, Laminoplasty, MRI
References
[01] Satyarthee GD, Mahapatra AK. Presacral neurenteric cyst in an infant. Pediatr Neurosurg. 2003 Oct; 39(4):222-4.
[02] Rodrigues D, Behari S, Ismail A, Crawford P. Giant presacral neurenteric cyst with anomalous sacrum in an adult patient. Br J Neurosurg. 2005 Apr;19(2):181-4.
[03] Kumar R, Jain R, Rao KM, Hussain N. Intraspinal neurenteric cysts--report of three paediatric cases. Childs Nerv Syst. 2001 Oct;17(10):584-8.
[04] Wakisaka M, Nakada K, Kitagawa H, Shimada H, Nosaka S. Giant transdiaphragmatic duodenal duplication with an intraspinal neurenteric cyst as part of the split notochord syndrome: report of a case. Surg Today. 2004;34(5):459-62.
[05] Zhang F, Lu G. Giant mediastinal neuroenteric cyst with intraspinal neurenteric cyst. Eur J Radiol. 2008 Nov;68(2): e59–e61.
[06] Jhawar SS, Mahore A, Goel A. Intramedullary spinal neurenteric cyst with fluid-fluid level. J Neurosurg Pediatr. 2012 May;9(5):542-5.
[07] Sasani M, Ozer AF, Oktenoglu BT, Peker K, Bozkus MH, Sarioglu AC. Excision of an asymptomatic cervical intradural neurenteric cyst through the anterior approach: a study of two cases and a review of the literature. Spine J. 2007 Nov-Dec;7(6):720-7. Epub 2007 Feb 20.
[08] Tuzun Y, Izci Y, Sengul G, Erdogan F, Suma S. Neurenteric cyst of the upper cervical spine: excision via posterior approach. Pediatr Neurosurg. 2006;42(1):54-6.
[09] Angevine PD, Kellner C, Haque RM, McCormick PC. Surgical management of ventral intradural spinal lesions. J Neurosurg Spine. 2011 Jul;15(1):28-37.
[10] Cai C, Shen C, Yang W, Zhang Q, Hu X. Intraspinal neurenteric cysts in children. Can J Neurol Sci. 2008 Nov;35(5):609-15.
[11] Yang T, Wu L, Fang J, Yang C, Deng X, Xu Y. Clinical presentation and surgical outcomes of intramedullary neurenteric cysts. J Neurosurg Spine. 2015 Jul;23(1):99-110.
[12] Laidlaw JD. Iso-intense neuroenteric cyst in the lower cervical spine treated with ventral resection and anterior fusion utilising sternal notch exposure: case report, technical note and literature review. J Clin Neurosci. 2003 Sep;10(5):606-12.
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