Intramedullary enterogenous cyst of the conus medullaris presenting as lower limb pain

Enterogenous cysts account for 0.7-1.3% of spinal axis tumors. Cervical and thoracic segments are most often affected and they are rare in the lumbar region. Intramedullary variant which comprises less than 5% of enterogenous cysts are densely adherent to the surrounding tissue and preclude total ex...

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Main Authors: Srikant Balasubramaniam, Devendra K Tyagi, Hemant V Sawant
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Journal of Craniovertebral Junction and Spine
Subjects:
Online Access:http://www.jcvjs.com/article.asp?issn=0974-8237;year=2011;volume=2;issue=1;spage=46;epage=48;aulast=Balasubramaniam
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author Srikant Balasubramaniam
Devendra K Tyagi
Hemant V Sawant
author_facet Srikant Balasubramaniam
Devendra K Tyagi
Hemant V Sawant
author_sort Srikant Balasubramaniam
collection DOAJ
description Enterogenous cysts account for 0.7-1.3% of spinal axis tumors. Cervical and thoracic segments are most often affected and they are rare in the lumbar region. Intramedullary variant which comprises less than 5% of enterogenous cysts are densely adherent to the surrounding tissue and preclude total excision. Partial excision is associated with recurrence and is the most common unfavorable outcome in these cysts. Hence, such patients need follow-up with serial imaging. We describe a case of conus medullaris enterogenous cyst presenting as lower limb pain. Due to dense adhesion of the cyst to the surrounding neural tissue, subtotal excision was done. The patient is symptom and tumor free at one year interval. We describe our case, discuss its uniqueness and review the literature on this rare but difficult to cure tumor.
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spelling doaj.art-c5a2a91663664639ac89721e1f4793f92022-12-22T00:17:05ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82372011-01-0121464810.4103/0974-8237.85314Intramedullary enterogenous cyst of the conus medullaris presenting as lower limb painSrikant BalasubramaniamDevendra K TyagiHemant V SawantEnterogenous cysts account for 0.7-1.3% of spinal axis tumors. Cervical and thoracic segments are most often affected and they are rare in the lumbar region. Intramedullary variant which comprises less than 5% of enterogenous cysts are densely adherent to the surrounding tissue and preclude total excision. Partial excision is associated with recurrence and is the most common unfavorable outcome in these cysts. Hence, such patients need follow-up with serial imaging. We describe a case of conus medullaris enterogenous cyst presenting as lower limb pain. Due to dense adhesion of the cyst to the surrounding neural tissue, subtotal excision was done. The patient is symptom and tumor free at one year interval. We describe our case, discuss its uniqueness and review the literature on this rare but difficult to cure tumor.http://www.jcvjs.com/article.asp?issn=0974-8237;year=2011;volume=2;issue=1;spage=46;epage=48;aulast=BalasubramaniamConus medullaris tumorenterogenous cystintramedullary tumorlower limb painneurenteric cyst
spellingShingle Srikant Balasubramaniam
Devendra K Tyagi
Hemant V Sawant
Intramedullary enterogenous cyst of the conus medullaris presenting as lower limb pain
Journal of Craniovertebral Junction and Spine
Conus medullaris tumor
enterogenous cyst
intramedullary tumor
lower limb pain
neurenteric cyst
title Intramedullary enterogenous cyst of the conus medullaris presenting as lower limb pain
title_full Intramedullary enterogenous cyst of the conus medullaris presenting as lower limb pain
title_fullStr Intramedullary enterogenous cyst of the conus medullaris presenting as lower limb pain
title_full_unstemmed Intramedullary enterogenous cyst of the conus medullaris presenting as lower limb pain
title_short Intramedullary enterogenous cyst of the conus medullaris presenting as lower limb pain
title_sort intramedullary enterogenous cyst of the conus medullaris presenting as lower limb pain
topic Conus medullaris tumor
enterogenous cyst
intramedullary tumor
lower limb pain
neurenteric cyst
url http://www.jcvjs.com/article.asp?issn=0974-8237;year=2011;volume=2;issue=1;spage=46;epage=48;aulast=Balasubramaniam
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AT devendraktyagi intramedullaryenterogenouscystoftheconusmedullarispresentingaslowerlimbpain
AT hemantvsawant intramedullaryenterogenouscystoftheconusmedullarispresentingaslowerlimbpain