Mobile spinal enterogenous cyst resulting in intermittent paraplegia in a child: case report

Abstract

<jats:p>The authors report the case of a mobile spinal enterogenous cyst in a 2-year-old boy, who was admitted to the hospital several times for intermittent paraplegia. Magnetic resonance imaging and CT revealed an isolated cyst in the lumbar spinal canal. The symptoms were caused by transient myelopathy of the conus medullaris and radiculopathy of the cauda equina due to the changing size and location of the cyst. The cyst was surgically extirpated, after which the symptoms resolved. The histopathological diagnosis was enterogenous cyst. The clinical history of intraspinal enterogenous cyst is usually progressive. Mobility and changes in size are rare pathophysiological findings. The authors speculate that the cyst wall did not adhere to the surrounding structures and had ruptured and quickly reformed. Enterogenous cyst should be considered in the differential diagnosis of spinal intradural cysts in children with radiculomyelopathy.</jats:p>

Management of an unusual, recurrent neurenteric cyst in an infant: case report and review of the literature

“…Neurenteric cysts typically present with gradual onset of pain, paraplegia or myelopathic signs, which can be attributed to mass effect from the cyst itself. Unlike most spinal tumors, however, symptoms sometimes fluctuate in intensity, as was the case in this patient, a unique feature attributable to the alternating filling and emptying of cyst contents [9,14].…”

“…Neurenteric cysts are space-occupying and can compress neural structures, presenting with progressive pain, myelopathy, and radiculopathy [7]. Rarely, these lesions present with fluctuating symptoms attributed to changing cyst volume or location [9], and concurrent neurologic conditions, like tethered cord [10,11].…”

Migratory schwannoma of the cauda equina with a change in radicular pattern: illustrative case

“…3,[13][14][15][16][17] In other cases, such as ours, tumor migration was associated with a change in symptoms. [18][19][20][21][22][23] This change can be as subtle as an increase in back pain or as dramatic as paraplegia in cases in which the tumor is located in the thoracic region or at the level of the conus medullaris. All identified cases are summarized in Table 1.…”

A rare case of thoracic spinal intradural extramedullary enterogenous cyst with acute onset: case report and literature review

“…The lesions were localised to C1 to L2, with the majority located in the cervicothoracic region, and rarely seen in the lumbar spine and cauda equine. 27,32 Among these cases, there were 27 intradural extramedullary enterogenous cysts; 22 lesions were located at the ventral side of the cord; only 3 were located in the cord. In these cases, most patients presented progressive focal pain at the level of the spine, various myelopathic signs or radicular symptoms, such as quadriplegia, chronic pyrexia, neck pain, sphincter incontinence and paraplegia.…”