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Enterogenous cyst in the cervical spinal canal. Case report
1Department of Neurosurgery, University of the Ryukyus, School of Medicine, Okinawa, Japan.
Journal of Neurosurgery
|February 1, 1988
Summary
This case study presents an intradural, extramedullary enterogenous cyst in a child. Diagnostic imaging and histological analysis confirmed this rare spinal cord mass.
Area of Science:
- Neurology
- Pediatric Surgery
- Pathology
Background:
- Intradural and extramedullary spinal cysts are rare, particularly enterogenous cysts in pediatric patients.
- Enterogenous cysts are congenital anomalies arising from abnormal separation of the neurenteric canal during embryonic development.
Observation:
- An 11-year-old Japanese girl presented with symptoms related to a spinal cord mass.
- Magnetic resonance imaging revealed a mass with a low-intensity signal compared to the spinal cord.
- The mass was located intradurally and extramedullarly.
Findings:
- Histological examination confirmed the diagnosis of an enterogenous cyst.
- Special stains including periodic acid-Schiff (PAS), alcian blue, and mucicarmine were utilized.
- Immunohistochemical staining for carcinoembryonic antigen (CEA) and electron microscopy further supported the diagnosis.
Implications:
- This case highlights the importance of comprehensive diagnostic methods for rare spinal tumors in children.
- Accurate histological and ultrastructural analysis is crucial for definitive diagnosis of enterogenous cysts.
- Understanding the embryological origin aids in differentiating these cysts from other spinal neoplasms.