Staged bilateral far-lateral approach for bilateral cervicomedullary junction neurenteric cysts in a 10-year-old girl

Case report

Smruti K. Patel M.D.1 and James K. Liu M.D.1,2
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  • 1 Department of Neurological Surgery, and
  • | 2 Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey
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Neurenteric cysts are rare and benign lesions that consist of ectopic alimentary tissue residing in the central nervous system. They tend to occur most frequently in an intraspinal rather than intracranial location. Intracranial neurenteric cysts are a rare occurrence in the pediatric population. These lesions typically present as unilateral cystic structures in the lower cerebellopontine angle and craniocervical junction. To the authors' knowledge, there have been no reported cases of bilateral localization of intracranial neurenteric cysts. In this report, they present an unusual case of a 10-year-old girl who was found to have bilateral intracranial neurenteric cysts at the pontomedullary junction. The patient was successfully treated with staged, bilateral far-lateral transcondylar resection of the cysts. The authors also provide a brief overview of the literature describing intracranial neurenteric cysts in children.

Abbreviation used in this paper:

CN = cranial nerve.

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  • 1

    Afshar F, & Scholtz CL: Enterogenous cyst of the fourth ventricle. Case report. J Neurosurg 54:836838, 1981

  • 2

    Basheer N, , Kasliwal MK, , Suri A, , Sharma MC, , Arora A, & Sharma BS: Lateral extradural, supratentorial neurenteric cyst. J Clin Neurosci 17:639641, 2010

    • Search Google Scholar
    • Export Citation
  • 3

    Bavetta S, , El-Shunnar K, & Hamlyn PJ: Neurenteric cyst of the anterior cranial fossa. Br J Neurosurg 10:225227, 1996

  • 4

    Chaynes P, , Bousquet P, , Sol JC, , Delisle MB, , Richaud J, & Lagarrigue J: Recurrent intracranial neurenteric cysts. Acta Neurochir (Wien) 140:905911, 1998

    • Search Google Scholar
    • Export Citation
  • 5

    Chen PY, , Wu CT, , Lui TN, & Jung SM: Endodermal cyst presenting as a prenatally diagnosed large intracranial cyst. Case report and review of the literature. J Neurosurg 106:6 Suppl 506508, 2007

    • Search Google Scholar
    • Export Citation
  • 6

    Christov C, , Chrétien F, , Brugieres P, & Djindjian M: Giant supratentorial enterogenous cyst: report of a case, literature review, and discussion of pathogenesis. Neurosurgery 54:759763, 2004

    • Search Google Scholar
    • Export Citation
  • 7

    Coca S, , Martínez A, , Vaquero J, , Moreno M, , Martos JA, & Rodríguez J, et al.: Immunohistochemical study of intracranial cysts. Histol Histopathol 8:651654, 1993

    • Search Google Scholar
    • Export Citation
  • 8

    de Oliveira RS, , Cinalli G, , Roujeau T, , Sainte-Rose C, , Pierre-Kahn A, & Zerah M: Neurenteric cysts in children: 16 consecutive cases and review of the literature. J Neurosurg 103:6 Suppl 512523, 2005

    • Search Google Scholar
    • Export Citation
  • 9

    Del Bigio MR, , Jay V, & Drake JM: Prepontine cyst lined by respiratory epithelium with squamous metaplasia: immunohistochemical and ultrastructural study. Acta Neuropathol 83:564568, 1992

    • Search Google Scholar
    • Export Citation
  • 10

    Ergün R, , Akdemir G, , Gezici AR, , Kara C, & Ergüngör F: Craniocervical neurenteric cyst without associated abnormalities. Pediatr Neurosurg 32:9599, 2000

    • Search Google Scholar
    • Export Citation
  • 11

    Eynon-Lewis NJ, , Kitchen N, , Scaravilli F, & Brookes GB: Neurenteric cyst of the cerebellopontine angle: case report. Neurosurgery 42:655658, 1998

    • Search Google Scholar
    • Export Citation
  • 12

    Fujita T, , Kayama T, , Saito S, , Yamakawa M, & Nakai O: Immunohistochemical detection of tumor marker in recurrent clivus enterogenous cyst—case report. Neurol Med Chir (Tokyo) 37:479482, 1997

    • Search Google Scholar
    • Export Citation
  • 13

    Gauden AJ, , Khurana VG, , Tsui AE, & Kaye AH: Intracranial neuroenteric cysts: a concise review including an illustrative patient. J Clin Neurosci 19:352359, 2012

    • Search Google Scholar
    • Export Citation
  • 14

    Goel A, , Muzumdar D, & Chagla A: Endodermal cyst anterior and anterolateral to the brainstem: a report of an experience with seven cases. Br J Neurosurg 19:163166, 2005

    • Search Google Scholar
    • Export Citation
  • 15

    Inoue T, , Matsushima T, , Fukui M, , Iwaki T, , Takeshita I, & Kuromatsu C: Immunohistochemical study of intracranial cysts. Neurosurgery 23:576581, 1988

    • Search Google Scholar
    • Export Citation
  • 16

    Karikari IO, , Grant G, , Cummings TJ, , Petrella J, & Fuchs HE: Endodermal cyst of the oculomotor nerve. Pediatr Neurosurg 46:155156, 2010

  • 17

    Khalatbari MR, & Moharamzad Y: Spontaneous hemorrhage into a neurenteric cyst of the cerebellar vermis. Neuropediatrics 42:116118, 2011

    • Search Google Scholar
    • Export Citation
  • 18

    Kleihues P, , Burger PC, & Scheithauer BW: The new WHO classification of brain tumours. Brain Pathol 3:255268, 1993

  • 19

    Liu JK, & Couldwell WT: Far-lateral transcondylar approach: surgical technique and its application in neurenteric cysts of the cervicomedullary junction. Report of two cases. Neurosurg Focus 19:2 E9, 2005

    • Search Google Scholar
    • Export Citation
  • 20

    Lonjon M, , Paquis P, , Michiels JF, , Griffet J, & Grellier P: Endo dermal cyst of the foramen magnum: case report and review of the literature. Childs Nerv Syst 14:100103, 1998

    • Search Google Scholar
    • Export Citation
  • 21

    Menezes AH, & Ryken TC: Craniocervical intradural neurenteric cysts. Pediatr Neurosurg 22:8895, 1995

  • 22

    Muller J, , Voelker JL, & Campbell RL: Respiratory epithelial cyst of the cerebellopontine angle. Neurosurgery 24:936939, 1989

  • 23

    Okunaga T, , Tsutsumi K, , Hayashi T, & Nagata I: Endodermal cyst of the oculomotor nerve: case report. Neurosurgery 58:E994, 2006

  • 24

    Preece MT, , Osborn AG, , Chin SS, & Smirniotopoulos JG: Intracranial neurenteric cysts: imaging and pathology spectrum. AJNR Am J Neuroradiol 27:12111216, 2006

    • Search Google Scholar
    • Export Citation
  • 25

    Sakata H, , Fujimura M, , Iwasaki M, & Tominaga T: Neurenteric cyst of the craniocervical junction in an infant. Neurol Med Chir (Tokyo) 48:8689, 2008

    • Search Google Scholar
    • Export Citation
  • 26

    Tan GS, , Hortobágyi T, , Al-Sarraj S, & Connor SE: Intracranial laterally based supratentorial neurenteric cyst. Br J Radiol 77:963965, 2004

    • Search Google Scholar
    • Export Citation
  • 27

    Turner SJ, , Dexter MA, , Smith JE, & Ouvrier R: Primary nerve repair following resection of a neurenteric cyst of the oculomotor nerve. Case report. J Neurosurg Pediatr 9:4548, 2012

    • Search Google Scholar
    • Export Citation
  • 28

    van der Wal AC, & Troost D: Enterogenous cyst of the brainstem—a case report. Neuropediatrics 19:216217, 1988

  • 29

    Vlaho S, , Gebhardt B, , Gerlach R, , Weidauer S, & Kieslich M: Cyst of the third ventricle as an unusual cause of acquired hydrocephalus. Pediatr Neurol 28:225227, 2003

    • Search Google Scholar
    • Export Citation
  • 30

    Wait SD, , Choi LS, & Teo C: Neurenteric cyst: an unusual cause of third nerve palsy. Childs Nerv Syst 27:639641, 2011

  • 31

    Wang L, , Zhang J, , Wu Z, , Jia G, , Zhang L, & Hao S, et al.: Diagnosis and management of adult intracranial neurenteric cysts. Neurosurgery 68:4452, 2011

    • Search Google Scholar
    • Export Citation
  • 32

    Werner M, , Bhatti MT, , Vaishnav H, , Pincus DW, , Eskin T, & Yachnis AT: Isolated anisocoria from an endodermal cyst of the third cranial nerve mimicking an Adie's tonic pupil. J Pediatr Ophthalmol Strabismus 42:176179, 2005

    • Search Google Scholar
    • Export Citation
  • 33

    Yoshida K, , Nakamura S, , Tsubokawa T, , Sasaki J, & Shibuya T: Epithelial cyst of the fourth ventricle. Case report. J Neurosurg 73:942945, 1990

    • Search Google Scholar
    • Export Citation
  • 34

    Zalatnai A: Neurenteric cyst of medulla oblongata—a curiosity. Neuropediatrics 18:4041, 1987

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