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Supratentorial neurenteric cyst--a case report
Karolina Janczar1, Krzysztof Tybor2, Wielisław Papierz1
1Chair and Department of Pathomorphology, Medical University of Lodz, Lodz, Poland.
Neurologia I Neurochirurgia Polska
|July 2, 2014
Summary
This case report details a rare supratentorial neurenteric cyst in a 33-year-old female presenting with seizures. The lesion, identified via MRI, exhibited characteristics of gastrointestinal glands and positive epithelial markers.
Area of Science:
- Neuropathology
- Developmental Neurobiology
- Neurosurgery
Background:
- Supratentorial neurenteric cysts are uncommon congenital malformations.
- These cysts arise from developmental remnants of the neurenteric canal.
- They can present with diverse neurological symptoms depending on location and size.
Observation:
- A 33-year-old female presented with new-onset seizures.
- MRI revealed a multicystic lesion in the left premotor cortex with contrast enhancement.
- Microscopic examination showed cysts lined by ciliated columnar/cuboidal epithelium and resembling gastrointestinal glands.
Findings:
- The cyst wall exhibited a single layer of epithelium on a basement membrane.
- Immunohistochemistry confirmed positive expression of epithelial markers (cytokeratin, epithelial membrane antigen).
- Histological features were consistent with a neurenteric cyst of supratentorial origin.
Implications:
- This case expands the understanding of supratentorial neurenteric cyst presentations.
- Accurate diagnosis relies on integrating imaging and histopathological findings.
- Further research may elucidate the specific developmental pathways and clinical management strategies for these rare lesions.
