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[Intraspinal enterogenous cyst. Case report]
O Hamamoto1, N E Guerreiro, H Nakano
1Faculdade de Medicina de Marília (FAMEMA), SP, Brasil.
Insights
A pediatric case details an enterogenous cyst in a 7-year-old boy causing cervical pain and tetraparesis. Surgical removal via corpectomy and reconstruction successfully treated this rare intraspinal lesion.
Area of Science:
- Pediatric neurology
- Neurosurgery
- Developmental biology
Background:
- Enterogenous cysts are rare congenital anomalies, often presenting in the pediatric population.
- Intraspinal cysts can cause significant neurological deficits due to spinal cord compression.
- Early diagnosis and surgical intervention are crucial for favorable outcomes.
Observation:
- A 7-year-old boy presented with progressive cervical pain and tetraparesis over two months.
- Imaging revealed an intraspinal cystic lesion extending from C4 to C6.
- The cyst was surgically removed through an anterior approach involving corpectomy and spinal reconstruction.
Findings:
- Histopathological examination confirmed the lesion as an enterogenous cyst.
- The surgical procedure included C5-C6 corpectomy, iliac crest bone grafting, and metallic plaque fixation.
- Post-operative recovery and management strategies are discussed.
Implications:
- This case highlights the importance of considering rare intraspinal lesions in pediatric neurological presentations.
- Surgical management through an anterior approach can be effective for cervicothoracic enterogenous cysts.
- Understanding the embryological origin aids in diagnosing and managing these complex congenital malformations.
Abstract:
The authors report the case of a 7 years old boy with cervical pain and tetraparesis progressing by two months. He presented an intraspinal cystic lesion from C4 to C6. Exeresis of the lesion was undergone by anterior way through a corpectomy of C5-C6 followed by reconstruction with bone graft of the iliac crest and metallic plaque. Anatomic diagnosis of the lesion was enterogenous cyst. Aspects of clinical presentation, embryology and treatment of these cysts are discussed.