Intramedullary spinal neurenteric cyst with fluid-fluid level

Case report

Sukhdeep Singh Jhawar M.Ch., Amit Mahore M.Ch., and Atul Goel M.Ch.
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  • Department of Neurosurgery, King Edward Memorial Hospital, Seth G.S. Medical College, Acharya Donde Marg, Parel, Mumbai, India
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Spinal neurenteric cysts are rare intradural extramedullary lesions of the spine, commonly located in the cervical and thoracic regions. The majority localize ventral to the spinal cord and are associated with other vertebral anomalies. Here, the authors report a rare case of a 3-year-old boy presenting with a 1-week history of meningismus followed by rapid-onset (over a few hours) paraplegia. Magnetic resonance imaging revealed an intramedullary cystic lesion with a fluid-fluid level in the cervicothoracic region of the spinal cord without associated bony or soft tissue abnormalities. To the best of the authors' knowledge, such clinical and radiological presentation of a spinal neurenteric cyst has never been reported. A brief review of the pertinent literature is presented, and the possible pathophysiology of such a presentation is also discussed.

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Contributor Notes

Address correspondence to: Amit Mahore, M.Ch., Department of Neurosurgery, King Edward Memorial Hospital, Seth G.S. Medical College, Acharya Donde Marg, Parel, Mumbai 400 012, India. email: amit2mahore@yahoo.co.in.

Please include this information when citing this paper: DOI: 10.3171/2012.1.PEDS11469.

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