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[Intraspinal enterogenous cyst. Case report]

O Hamamoto1, N E Guerreiro, H Nakano

  • 1Faculdade de Medicina de Marília (FAMEMA), SP, Brasil.

Arquivos De Neuro-Psiquiatria
|June 1, 1997
PubMed
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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.

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  • 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.