Intracranial neurenteric cyst arising at the suprasellar cistern with extension to middle cranial fossa

Kim, Jun Hoe; Wang, Kyu Chang; Park, Shin Young; Cheon, Jung Eun; Kim, Seung Ki

doi:10.1007/s00381-018-3892-9

Cited by 10 publications

(4 citation statements)

References 19 publications

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“…Supratentorial NECs are rare with prior reported cases in the frontal lobe, 11 optic nerve, 10 Meckel's cave, 3 and the suprasellar cistern. 12 We are aware of only one known reported case in the cavernous sinus, which was part of a case series of NECs in the CNS. 13 This report described a 2-year-old female who presented with acute third nerve palsy and was operated on with partial resection, and then reoperated following a recurrence after 3-year follow-up.…”

Section: Discussionmentioning

confidence: 99%

A Neuroenteric Cyst of the Cavernous Sinus: A Case Report

et al. 2023

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Background Neuroenteric cysts (NECs) are benign lesions mostly found as intradural extramedullary lesions in the cervicothoracic spinal cord. NECs in the cavernous sinus are very rare. To the best of our knowledge, this is only the second reported case and the first in an adult. Presentation We present a left cavernous sinus NEC in a 75-year-old female with gradually worsening headache and facial pain unresponsive to medical treatment. Imaging revealed a cystic mass lesion in the left cavernous sinus encasing the distal petrosal and cavernous segment of the internal carotid artery. Initial differential diagnoses included more common pathologies located near the cavernous sinus, including cystic schwannoma, craniopharyngioma, and dermoid and epidermoid tumors. The patient underwent a left pterional craniotomy with an extradural transcavernous approach for surgical exploration and possible resection of this mass lesion. Histopathology revealed an NEC lined with benign respiratory-type epithelium. Postoperative imaging revealed gross total tumor resection. The patient remained neurologically intact with complete resolution of facial pain. Conclusion We present a rare pathology that can easily be misinterpreted as other types of lesions. NECs should be kept in mind for differential diagnosis of cavernous sinus cystic lesions. The surgical aim should be maximal safe excision.

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Section: Discussionmentioning

confidence: 99%

A Neuroenteric Cyst of the Cavernous Sinus: A Case Report

et al. 2023

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“…NEC was described for the first time in 1928 and the first intracranial NEC was reported in 1962 [26], with more than one hundred cases reported since then [31]. Relative to the epidemiological characteristics of the patients, frequency is higher in men, and the age of presentation ranges from the neonatal period to 70 years.…”

Section: Case Discussionmentioning

confidence: 99%

Rare Brain Tumors with Infrequent Clinical Manifestations: Illustrative Cases

Navarro-Olvera¹,

Armas-Salazar²,

Carrillo-Ruíz³

et al. 2022

Brain Tumors

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This chapter describes the epidemiology, clinical and neuroimaging features, histological characteristics, surgical approach, outcomes, and prognostic factors of different cases of very rare intracranial tumors, associated with complex clinical syndromes. Highlighting the important aspects in the diagnosis and management that were considered relevant through the experience of our center. Here we included an intracranial Rosai-Dorfman disease manifested as an apparent multiple meningiomatosis, a choroid plexus papilloma clinically manifested as a hemifacial spasm originated by a compression of the facial colliculus, and a neuroenteric cyst associated with Klippel-Feil syndrome. This type of tumor presents a challenge to the neurosurgeon, originating various questions about its management. In this chapter, we present the experience we had with these pathologies to establish the most appropriate management decisions.

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“…In addition, all patients had a substantial progression of symptoms, with worsening headaches have been the primary indication for intervention and the most common presenting symptom in most case series in the literature. 1,9,10,[20][21][22] Although these cysts may not directly relate to headaches, increased intracranial pressure, or hydrocephalus, it remains challenging to distinguish the actual cause of headaches in these patients. Slow playing/delaying intervention has the benefit of seeing progression of a benign lesion, and understanding its progression before intervention, intervening when the patient is symptomatic, and ideally limiting the number of potential future interventions for each patient are the three objectives.…”

Section: Discussionmentioning

confidence: 99%

Surgical Experience and Management of Intracranial Neurenteric Cysts: Single-Center Experience and Review of the Literature

Yagnik

Vakharia

Vaubel

et al. 2022

J Neurol Surg B Skull Base

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Background: Neurenteric cysts (NEC) are rare, congenital lesions lined by endodermal cell-derived columnar or cuboidal epithelium. Based upon previous studies, gross total removal of the capsule has been presumed to be the ideal surgical goal. Objective: This series was undertaken to further understand the risk of recurrence based on extent of capsule resection. Methods: Records were retrospectively reviewed for all patients with radiographic or pathological evidence of intracranial neurenteric cyst from 1996 to 2021. Results: A total of 8 patients were identified; Four of 8 (50%) presented with headache, four had signs of one or more cranial nerve syndromes. One patient (13%) presented with 3rd nerve palsy, one (13%) had 6th nerve palsy, and two (25%) with hemifacial spasm. One patient (13%) presented with signs of obstructive hydrocephalus. MRI demonstrated T2 hyper- or iso-intense lesions. Diffusion-weighted imaging was negative in all patients (100%) and T1 contrast-enhanced imaging demonstrated minimal rim enhancement in two patients (25%). In 3 of 8 (38%), a gross total resection (GTR) was achieved; while in 4 (50%) a near-total resection, and in one (13%) a decompression was performed. Recurrences occurred in 2 (25%) patients, one with decompression and another with near-total resection, among these ½ required repeat surgery after a mean follow-up of 77 months. Conclusion: In this series, none from GTR group demonstrated recurrence, while 40% of those receiving a less than gross total resection recurred, underpinning the importance of maximally safe resection in these patients. Overall patients did well without major morbidity from surgery.

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Intracranial neurenteric cyst arising at the suprasellar cistern with extension to middle cranial fossa

Abstract: We discuss the unique case of supratentorially located neurenteric cyst that is just treated by fenestration. A close follow-up is needed for children with intracranial neurenteric cysts to surveil not only recurrence of lesion but also normal brain development.

Cited by 10 publications

References 19 publications

A Neuroenteric Cyst of the Cavernous Sinus: A Case Report

A Neuroenteric Cyst of the Cavernous Sinus: A Case Report

Rare Brain Tumors with Infrequent Clinical Manifestations: Illustrative Cases

Surgical Experience and Management of Intracranial Neurenteric Cysts: Single-Center Experience and Review of the Literature

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