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Supratentorial endodermal cysts - Report of two cases.

Vithal Rangarajan¹, Amit Mahore¹, Manoj Kashinath Patil¹

¹Department of Neurosurgery, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Parel, Mumbai, Maharashtra, India.

Asian Journal of Neurosurgery

|July 2, 2016

Summary

Two rare frontal lobe endodermal cysts (ECs) were surgically treated for increased intracranial pressure. Histology confirmed ECs, not arachnoid cysts, with no recurrence after marsupialization, highlighting their rarity in this location.

Keywords:

Enterogenous cyst frontal cyst neurenteric cyst supratentorial endodermal cyst

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Area of Science:

Neurology
Neurosurgery
Pathology

Background:

Endodermal cysts (ECs) are rare congenital brain lesions.
They are typically found in the spinal canal, posterior fossa, or suprasellar regions.
Supratentorial and non-midline ECs are exceptionally uncommon.

Observation:

Two patients presented with symptoms of raised intracranial pressure due to frontal lobe cystic lesions.
Preoperative diagnosis suggested arachnoid cysts.
Surgical intervention involved craniotomy and cyst marsupialization.

Findings:

Histopathological examination confirmed both lesions as endodermal cysts (ECs).
This challenges the typical location patterns reported for ECs.
No recurrence of symptoms was observed during follow-up.

Implications:

This case series expands the known anatomical distribution of endodermal cysts.
Accurate preoperative diagnosis of supratentorial ECs remains challenging.
Surgical marsupialization appears effective for symptomatic supratentorial ECs.