Neurenteric CYST of the craniocervical junction. Case report

Neurenteric cysts are uncommon benign endodermally-derived epithelial-lined cystic lesions of the central nervous system. We report a case of neurenteric cyst in the craniocervical junction and review of the literature.A 17-year-old boy complained of a 9-month history of progressive headaches. Neuro...

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Main Authors: J. Iglesias, Carrasco, P. De la Fuente, L. Galbarriatu, C. Paternain, E. Ruiz de Gopegui, L. Zaldumbide, I. Pomposo
Format: Article
Language:English
Published: Elsevier 2021-03-01
Series:Interdisciplinary Neurosurgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214751920304138
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author J. Iglesias
Carrasco
P. De la Fuente
L. Galbarriatu
C. Paternain
E. Ruiz de Gopegui
L. Zaldumbide
I. Pomposo
author_facet J. Iglesias
Carrasco
P. De la Fuente
L. Galbarriatu
C. Paternain
E. Ruiz de Gopegui
L. Zaldumbide
I. Pomposo
author_sort J. Iglesias
collection DOAJ
description Neurenteric cysts are uncommon benign endodermally-derived epithelial-lined cystic lesions of the central nervous system. We report a case of neurenteric cyst in the craniocervical junction and review of the literature.A 17-year-old boy complained of a 9-month history of progressive headaches. Neurological examination did not reveal any abnormalities. A computed tomography scan was performed demonstrating a hypodense lesion in the craniocervical junction and the magnetic resonance imaging (MRI) revealed an approximately 19 × 24 × 23 mm prebulbar cyst that induced posterior displacement of the medulla. Four months later, the patient developed right hemiparesis and limitation of his neck movements. Further MRI showed that the lesion had increased a little in size. Given this, a suboccipital craniotomy was performed with right C1 laminectomy, achieving complete excision of the cyst, and the peribulbar region and the lower cranial nerves were released. After 4 months, he was asymptomatic and playing football again, and 3 years later, MRI did not demonstrate any signs of growth.
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spelling doaj.art-e553d32a6e1c404bab79e02182a0f70e2022-12-21T23:21:37ZengElsevierInterdisciplinary Neurosurgery2214-75192021-03-0123100852Neurenteric CYST of the craniocervical junction. Case reportJ. Iglesias0 Carrasco1P. De la Fuente2L. Galbarriatu3C. Paternain4E. Ruiz de Gopegui5L. Zaldumbide6I. Pomposo7Department of Neurosurgery, University Cruces Hospital, Barakaldo, Spain; Department of Pathological Anatomy, University Cruces Hospital, Barakaldo, SpainDepartment of Neurosurgery, University Cruces Hospital, Barakaldo, Spain; Department of Pathological Anatomy, University Cruces Hospital, Barakaldo, SpainDepartment of Neurosurgery, University Cruces Hospital, Barakaldo, Spain; Department of Pathological Anatomy, University Cruces Hospital, Barakaldo, SpainDepartment of Neurosurgery, University Cruces Hospital, Barakaldo, Spain; Department of Pathological Anatomy, University Cruces Hospital, Barakaldo, SpainDepartment of Neurosurgery, University Cruces Hospital, Barakaldo, Spain; Department of Pathological Anatomy, University Cruces Hospital, Barakaldo, SpainDepartment of Neurosurgery, University Cruces Hospital, Barakaldo, Spain; Department of Pathological Anatomy, University Cruces Hospital, Barakaldo, SpainDepartment of Neurosurgery, University Cruces Hospital, Barakaldo, Spain; Department of Pathological Anatomy, University Cruces Hospital, Barakaldo, SpainDepartment of Neurosurgery, University Cruces Hospital, Barakaldo, Spain; Department of Pathological Anatomy, University Cruces Hospital, Barakaldo, SpainNeurenteric cysts are uncommon benign endodermally-derived epithelial-lined cystic lesions of the central nervous system. We report a case of neurenteric cyst in the craniocervical junction and review of the literature.A 17-year-old boy complained of a 9-month history of progressive headaches. Neurological examination did not reveal any abnormalities. A computed tomography scan was performed demonstrating a hypodense lesion in the craniocervical junction and the magnetic resonance imaging (MRI) revealed an approximately 19 × 24 × 23 mm prebulbar cyst that induced posterior displacement of the medulla. Four months later, the patient developed right hemiparesis and limitation of his neck movements. Further MRI showed that the lesion had increased a little in size. Given this, a suboccipital craniotomy was performed with right C1 laminectomy, achieving complete excision of the cyst, and the peribulbar region and the lower cranial nerves were released. After 4 months, he was asymptomatic and playing football again, and 3 years later, MRI did not demonstrate any signs of growth.http://www.sciencedirect.com/science/article/pii/S2214751920304138Neurenteric cystCraniovertebral junctionEnterogenous cyst
spellingShingle J. Iglesias
Carrasco
P. De la Fuente
L. Galbarriatu
C. Paternain
E. Ruiz de Gopegui
L. Zaldumbide
I. Pomposo
Neurenteric CYST of the craniocervical junction. Case report
Interdisciplinary Neurosurgery
Neurenteric cyst
Craniovertebral junction
Enterogenous cyst
title Neurenteric CYST of the craniocervical junction. Case report
title_full Neurenteric CYST of the craniocervical junction. Case report
title_fullStr Neurenteric CYST of the craniocervical junction. Case report
title_full_unstemmed Neurenteric CYST of the craniocervical junction. Case report
title_short Neurenteric CYST of the craniocervical junction. Case report
title_sort neurenteric cyst of the craniocervical junction case report
topic Neurenteric cyst
Craniovertebral junction
Enterogenous cyst
url http://www.sciencedirect.com/science/article/pii/S2214751920304138
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