Related Experiment Video
Updated: May 22, 2026
02:30
Endoscopic Approach for Colloid Cyst Resection
Published on: May 23, 2025
Intramedullary spinal neurenteric cyst with fluid-fluid level
Sukhdeep Singh Jhawar1, Amit Mahore, Atul Goel
1Department of Neurosurgery, King Edward Memorial Hospital, Seth G.S. Medical College, Acharya Donde Marg, Parel, Mumbai, India.
Journal of Neurosurgery. Pediatrics
|May 2, 2012
Summary
This study reports a rare case of a spinal neurenteric cyst in a child, presenting as rapid paraplegia. The intramedullary lesion showed a unique fluid-fluid level on MRI, differing from typical presentations.
Area of Science:
- Neurology
- Pediatric Neurosurgery
- Radiology
Background:
- Spinal neurenteric cysts are uncommon intradural extramedullary lesions, typically found in the cervical and thoracic spine.
- They often occur ventral to the spinal cord and may be linked to vertebral anomalies.
Observation:
- A 3-year-old boy presented with meningismus and acute paraplegia.
- Magnetic resonance imaging identified an intramedullary cystic lesion with a fluid-fluid level in the cervicothoracic spinal cord.
Findings:
- The spinal neurenteric cyst was intramedullary, a rare location.
- The lesion lacked associated bony or soft tissue abnormalities, distinguishing it from typical cases.
Implications:
- This case highlights an unusual presentation of spinal neurenteric cysts, particularly the rapid onset of neurological deficits.
- Understanding this rare clinical and radiological presentation is crucial for accurate diagnosis and management of spinal cord lesions in children.
More Related Videos
06:59Intrathecal Application of a Fluorescent Dye for the Identification of Cerebrospinal Fluid Leaks in Cochlear Malformation
Published on: February 29, 2020
14:59Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Related Concept Videos
01:18Anatomy of the Brain: Ventricles
There are hollow fluid-filled cavities known as ventricles deep inside the human brain. There are two lateral ventricles, one in each cerebral hemisphere, and each has three different projections — the anterior, inferior, and posterior horns visible from the lateral side. A thin membrane called the septum pellucidum separates the two lateral ventricles. The slender third ventricle in the diencephalon is connected to each lateral ventricle via a channel called the interventricular foramen. The...
01:19Cerebral Edema l: Introduction
Cerebral edema is a pathological increase in brain water content that disrupts intracranial pressure regulation and impairs neurological function. Because the cranial vault is rigid, even modest increases in tissue volume can compromise cerebral perfusion, distort neural structures, and initiate secondary injury. Cerebral edema develops through four principal mechanisms: vasogenic, cytotoxic, interstitial, and ionic.Vasogenic EdemaVasogenic edema arises from disruption of the blood–brain...
01:21Cerebrospinal Fluid
Cerebrospinal fluid (CSF) is a colorless liquid that flows around the brain and the spinal cord, playing a vital role in the protection, support, and overall function of the central nervous system (CNS). CSF production, circulation, and absorption are tightly regulated processes essential for the brain and spinal cord to function properly.
CSF Production
CSF is produced mainly in the choroid plexus, a network of capillaries and ependymal cells located within the ventricular system of the brain.
CSF Production
CSF is produced mainly in the choroid plexus, a network of capillaries and ependymal cells located within the ventricular system of the brain.
01:22Cerebral Edema ll: Pathophysiology
Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...
01:26Brain Abscess l: Introduction
A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...
01:19Cranial and Spinal Meninges
The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...