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Multiple intracranial enterogenous cysts
Journal of Neurology, Neurosurgery, and Psychiatry
|April 1, 1986
Summary
A rare case of multiple enterogenous cysts in the brain caused neurological symptoms. Surgical removal of a cyst provided symptom relief, highlighting a unique presentation of this congenital anomaly.
Area of Science:
- Neurology
- Neurosurgery
- Developmental Biology
Background:
- Enterogenous cysts are rare congenital malformations typically found along the gastrointestinal tract.
- Intracranial enterogenous cysts are exceptionally rare, with most reported cases involving single lesions in the posterior cranial fossa.
Observation:
- A 40-year-old woman presented with progressive ataxia, initially suspected to be multiple sclerosis based on clinical signs and evoked potential studies.
- Advanced imaging revealed multiple cystic intracranial lesions, some located supratentorially and others in the posterior fossa.
- Surgical excision of one of the lesions resulted in significant symptom improvement.
Findings:
- Histopathological examination confirmed the excised lesion as an enterogenous cyst.
- The presence of multiple, bilaterally distributed intracranial enterogenous cysts, including supratentorial locations, represents a unique and previously unreported finding.
- This case challenges the typical understanding of enterogenous cyst localization and presentation.
Implications:
- This case expands the known spectrum of intracranial enterogenous cyst manifestations.
- It underscores the importance of comprehensive neuroimaging in diagnosing complex neurological presentations, even when mimicking common conditions like multiple sclerosis.
- The successful surgical outcome suggests that intervention can be effective for symptomatic intracranial enterogenous cysts, regardless of multiplicity or location.