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Multiple intracranial enterogenous cysts.

T J Walls, D P Purohit, W S Aji

    Journal of Neurology, Neurosurgery, and Psychiatry
    |April 1, 1986
    PubMed
    Summary
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    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.

    Related Experiment Videos

  • 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.