Enterogenous cyst in the cervical spinal canal

Miyagi, Kouichi; Mukawa, Jiro; Mekaru, Susumu; Ishikawa, Yasunari; Kinjo, Toshihiko; Nakasone, Satoshi

doi:10.3171/jns.1988.68.2.0292

Cited by 55 publications

(38 citation statements)

References 11 publications

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“…9,12,20) Immunohistochemical staining shows the wall of neurenteric cyst is positive for cytokeratin, epithelial membrane antigen, and carcinoembryonic antigen, and negative for the glial fibrillary acidic protein and S-100 protein, which confirms the endodermal origin. 3,10,12,13,18,20) In contrast, neuroepithelial cyst, another type of cyst of the central nervous system, is negative for cytokeratin and positive for ectodermal markers such as glial fibrillary acidic protein and S-100 protein. 3) Neurenteric cyst gradually increases in size by secretions from the cells and osmotic retention of Neurol Med Chir (Tokyo) 44, March, 2004 Multiple Neurenteric Cysts in the Cranium and Spine cerebrospinal fluid.…”

Section: Discussionmentioning

confidence: 89%

“…14) Most cases of neurenteric cyst occur in the spinal canal at the cervical or upper thoracic levels, with a predilection for ventral localization. 1,2,5,12,14,15,18,20) Neurenteric cysts in lumbosacral locations are uncommon and even more unusual in intracranial locations. 12) Intracranial neurenteric cysts occur mainly in the posterior fossa such as the craniovertebral junction, prepontine cistern, cerebellopontine angle, and juxta-jugular foramen, and rarely in supratentorial regions like the suprasellar regions, septum pellucidum, and cerebral convexity.…”

Section: Introductionmentioning

confidence: 99%

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Multiple Neurenteric Cysts in the Posterior Fossa and Cervical Spinal Canal-Case Report-

Oyama

Ikeda

Inoue

et al. 2004

Neurol. Med. Chir.(Tokyo)

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A 46-year-old woman presented with multiple neurenteric cysts in the posterior fossa and spinal canal. Neuroimaging demonstrated neurenteric cysts in the interspace between the left cerebellar hemisphere and vermis, the lateral side of the right cerebellar hemisphere, and the ventral side of the spinal cord at the C-2 and C-4 levels. Total resection of the paravermian cyst and partial removal of the spinal cyst at the C-4 level were performed. Histological examination showed the cyst wall consisted of single or multiple layers of columnar epithelial cells with secretory granules, with mucin secretion verified by periodic acid-Schiff staining. Immunohistochemical staining showed the walls were positive for the cytokeratin, epithelial membrane antigen, and carcinoembryonic antigen, and negative for glial fibrillary acidic protein and S-100 protein. These findings confirmed the endodermal origin. The diagnosis was neurenteric cyst. The paravermian cyst disappeared, but the spinal cyst at the C-4 level recurred 8 months later. Reoperation became necessary 16 months later. The other two cysts also showed enlargement at 6 or 15 months. Total removal of neurenteric cyst is recommended if possible.

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Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Multiple Neurenteric Cysts in the Posterior Fossa and Cervical Spinal Canal-Case Report-

Oyama

Ikeda

Inoue

et al. 2004

Neurol. Med. Chir.(Tokyo)

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“…[29,30] The majority of patients present during the first decade of life with pain and myelopathy. [29,31,32] This myelopathy may be entirely motor if the cyst is anteriorly located. [19] Older children and adults have similar presentations.…”

Section: Discussionmentioning

confidence: 99%

Rare Cervical Spine Neuroenteric Idem Cyst With Intramedullary Extension

Gupta¹,

Wadhwa²,

Garg³

et al. 2015

jemds

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56-year-old man presented to us with progressive weakness of upper and lower limbs. He had gradually progressive neurological deterioration in the form of quadriparesis. MRI was suggestive of cervical cord SOL. The clinical, radiological, and surgical findings are discussed together with a brief critical review of the literature. The patient had no other associated anomalies. The intradural extramedullary component of cyst was removed totally with debulking of intramedullary part with good neurological recovery. The clinical presentation was rather atypical for neurenteric cyst. Neurenteric cyst should be considered in the differential diagnosis of an intradural mass lesion regardless of the age, clinical presentation or location of the lesion. HOW TO CITE THIS ARTICLE:

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“…6) Therefore, the surgical strategy concerning the approach route and extent of removal of the cyst wall remains controversial. Tables 1 and 2 show a summary of previous cases of endodermal cysts treated via the posterior 1,4,13,15,17,18,20,21,23) or anterior approach 2,3,5,6,8,9,11,14,16,19) including the present case. Three of 4 cases of recurrence of the cyst were treated via the posterior approach, and the other case was treated via the anterior approach though the intervertebral disc space.…”

Section: Discussionmentioning

confidence: 99%

“…Such cysts are generally located ventral to the spinal cord, and were mainly treated surgically via an anterior 2,3,5,6,8,9,11,14,16,19) or posterior approach. 1,4,13,15,17,18,20,21,23) However, these techniques have not been directly compared, and the surgical indications and strategy for such cysts remain controversial. We describe a case of cervical ventral endodermal cyst treated successfully by anterior corpectomy and discuss the associated benefits of this approach.…”

Section: Introductionmentioning

confidence: 99%

Ventral Intradural Endodermal Cyst in the Cervical Spine Treated With Anterior Corpectomy -Case Report-

Itō

Aoyama

Kiuchi

et al. 2011

Neurol. Med. Chir.(Tokyo)

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A 14-year-old girl who presented with an endodermal cyst manifesting as severe neck and shoulder pain along with vesicorectal disturbances. Cervical magnetic resonance imaging showed a slightly enhanced intradural cyst at the C6-7 level in the ventral side of the spinal canal, with significant dorsal shortening and thinning of the spinal cord. Anterior corpectomy was chosen because of the dorsal effacement of the spinal cord. The cyst wall was subtotally removed to avoid damage to the normal spinal cord. After cyst removal, the iliac bone and an anterior cervical plate were used for anterior fusion. Postoperatively, her pain subsided without neurological deficits. The histological diagnosis was endodermal cyst. The cyst did not recur during a follow-up period of 18 months. Endodermal cysts are rare congenital lesions of the spine lined by endodermal epithelium. The natural history of this lesion is unclear, and the surgical strategy for the approach route and the extent of removal of the cyst wall remain controversial. We suggest that the anterior approach may allow a safer and more effective surgical route for the treatment of ventrally located endodermal cyst compared to the posterior approach.

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Enterogenous cyst in the cervical spinal canal

Cited by 55 publications

References 11 publications

Multiple Neurenteric Cysts in the Posterior Fossa and Cervical Spinal Canal-Case Report-

Multiple Neurenteric Cysts in the Posterior Fossa and Cervical Spinal Canal-Case Report-

Rare Cervical Spine Neuroenteric Idem Cyst With Intramedullary Extension

Ventral Intradural Endodermal Cyst in the Cervical Spine Treated With Anterior Corpectomy -Case Report-

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