Primary nerve repair following resection of a neurenteric cyst of the oculomotor nerve

Case report

Scott J. Turner M.B.B.S. 1 , Mark A. Dexter M.B.B.S., F.R.A.C.S. 1 , James E. H. Smith F.R.A.C.S., F.R.A.N.Z.C.O. 2 and Robert Ouvrier M.D., F.R.A.C.P. 3
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  • 1 Department of Neurosurgery, Westmead Hospital; and
  • 2 Departments of Ophthalmology and
  • 3 Medicine, Children's Hospital at Westmead, New South Wales, Australia
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Neurenteric cysts are rare congenital lesions of endodermal origin occurring in the spinal canal and infrequently in the posterior cranial fossa. The authors report the case of a 3-year-old child who presented with a recurrent third cranial nerve palsy. Magnetic resonance imaging showed a large cystic mass lesion in the ambient cistern on the right side, with compression of the anterolateral aspect of the brainstem. The patient underwent a craniotomy, complete excision, and a primary third cranial nerve repair. While there have been 3 reported cases of neurenteric cysts arising from the oculomotor nerve, this is the first documented case with a primary nerve repair.

Abbreviation used in this paper: GFAP = glial fibrillary acidic protein.

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Contributor Notes

Address correspondence to: Scott J. Turner, M.B.B.S., Westmead Hospital, Hawkesbury Road, Westmead, New South Wales, Australia 2145. email: scottjturner@gmail.com.

Please include this information when citing this paper: DOI: 10.3171/2011.10.PEDS10548.

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