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Updated: Oct 14, 2025

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Anterior Craniocervical Junctional Neurenteric Cyst
Woo Yup Kim1, Jaejoon Lim1, Kyung Gi Cho2
1Department of Neurosurgery, CHA Bundang Medical Center, CHA University College of Medicine, Seongnam, Korea.
Intracranial neurenteric cysts at the anterior craniocervical junction are rare. Surgical resection via a far-lateral transcondylar approach offers a potential optimal treatment for these cysts.
Area of Science:
- Neurosurgery
- Neurology
- Pediatric Neurosurgery
Background:
- Intracranial neurenteric cysts at the anterior craniocervical junction are exceptionally rare.
- Established treatment protocols and prognoses for these cysts are lacking.
Observation:
- A 16-year-old female presented with a two-month history of progressive headaches.
- MRI revealed an intradural extramedullary cyst compressing the C1 spinal cord at the anterior medulla and brain stem.
Findings:
- Gross total resection of the cyst was achieved.
- The far-lateral transcondylar approach was utilized for the surgical resection.
Implications:
- Surgical resection is the primary treatment modality for anterior craniocervical junction neurenteric cysts.
- The far-lateral transcondylar approach may represent the optimal surgical strategy for this rare condition.
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