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Updated: Jun 25, 2026

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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Anterior cervicothoracic approach to an upper thoracic spinal endodermal cyst
Hazem Akil1, Barry Mahon, Agadha Wickremesekera
1Department of Neurosurgery, Wellington Hospital, Riddiford Street, Wellington, 6011, New Zealand. hazemakil@yahoo.co.uk
Summary
Endodermal cysts are rare central nervous system tumors. This study details a successful surgical resection of a thoracic endodermal cyst using an anterior spinal cord approach.
Area of Science:
- Neurosurgery
- Neuropathology
Background:
- Endodermal cysts are rare, benign central nervous system (CNS) tumors, accounting for approximately 0.01% of all CNS neoplasms.
- These cysts can occur in cranial and/or spinal locations, presenting unique diagnostic and surgical challenges.
Observation:
- The case involved a thoracic endodermal cyst, a rare spinal location for this type of tumor.
Findings:
- Surgical resection of the thoracic endodermal cyst was successfully performed.
- An anterior surgical approach to the spinal cord was utilized for the resection, deviating from the generally preferred posterior approach.
Implications:
- This case highlights the feasibility and potential success of an anterior surgical approach for thoracic endodermal cysts.
- The findings may expand surgical options and improve outcomes for patients with spinal endodermal cysts.
