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Updated: Jun 5, 2026
11:29
Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study
Published on: August 15, 2025
Intraparenchymal temporal neurenteric cyst.
Sukhdeep Singh Jhawar1, Trimurti Nadkarni, Atul Goel
1Department of Neurosurgery, King Edward Memorial Hospital, Seth G.S. Medical College, Acharya Donde Marg, Parel, Mumbai 400 012, India.
Summary
This case report details a rare temporal intraparenchymal neurenteric cyst in a 41-year-old male. Surgical removal and histopathology confirmed the diagnosis of this unusual central nervous system lesion.
Area of Science:
- Neurology
- Neurosurgery
- Developmental Neuroscience
Background:
- Neurenteric cysts are rare congenital lesions originating from endodermal remnants.
- Intraparenchymal location within the temporal lobe is exceptionally uncommon.
- Preoperative diagnosis can be challenging due to variable imaging features.
Observation:
- A 41-year-old male presented with symptoms attributed to a temporal lobe lesion.
- Neuroradiological imaging revealed an intraparenchymal cyst but lacked definitive diagnostic characteristics.
- The lesion was surgically excised with the goal of complete removal.
Findings:
- Histopathological examination confirmed the diagnosis of a neurenteric cyst.
- The cyst was confirmed as an endodermally derived lesion of the central nervous system.
- Complete excision was successfully achieved.
Implications:
- This case highlights the importance of considering neurenteric cysts in the differential diagnosis of temporal lobe lesions.
- Complete surgical excision is the recommended treatment for symptomatic neurenteric cysts.
- Further research may elucidate the specific developmental pathways leading to intraparenchymal neurenteric cysts.
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