Thoracic Neurenteric Cyst in an Adult: Case Report

Thoracic Neurenteric Cyst in an Adult: Case Report AbstractOBJECTIVE AND IMPORTANCE:Neurenteric cysts are very rare (particularly in the adult age group) congenital intraspinal cysts of endodermal origin. The patient described was a 48-year-old man who was diagnosed as having an isolated thoracic neurenteric cyst at the T5-T6 level, without a mediastinal enterogenous cyst. Radiological studies demonstrated multiple anterior vertebral column abnormalities.CLINICAL PRESENTATION:The patient presented with a long history of mild midback pain. During the 2 years preceding admission, his midback pain worsened and he experienced right intercostal pain in the midthoracic area. Several months before admission, he noticed right lower extremity weakness, which led him to undergo neurological evaluation and radiological studies.INTERVENTION:Thoracic spine x-rays revealed marked thoracic scoliosis and multiple vertebral abnormalities. Magnetic resonance imaging and myelography revealed an intradural extramedullary cystic mass at the T5-T6 level, severely compressing the spinal cord from the ventral side. Thoracic laminectomy was performed and the cystic lesion was completely removed, with disconnection of the ventral tractCONCLUSION:This is an unusual presentation, at this age, of a congenital intraspinal cyst in the thoracic area. Such cysts must investigated for early diagnosis and treatment. A neurenteric cyst should be suspected particularly if the cyst is associated with anterior vertebral column abnormalities. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Neurosurgery Oxford University Press

Thoracic Neurenteric Cyst in an Adult: Case Report

Thoracic Neurenteric Cyst in an Adult: Case Report

years. The pain was located just below Thoracic Neurenteric Cyst in an Adult: the tip of the scapula and radiated an­ teriorly, on both sides, through the mid- Case Report back and chest area. The pain was inter­ mittent and was more severe on the right side. The patient dragged his right Sun H . L e e , M . D . , P h . D . , S t e p h e n J. D a n t e , M . D . , foot because of right leg weakness. The F r e d e r i c k A . S i m e o n e , M . D . , M a r k T . C u r t i s , M . D . , P h . D . weakness had waxed and waned during Departments of Neurosurgery (SHL, SJD, FAS) and Pathology (MTC), the preceding 3 years. The patient de­ Thomas Jefferson University Hospital, Philadelphia, Pennsylvania nied bowel or bladder problems. Physical examination revealed that the patient had a very short neck; h o w ­ OBJECTIVE A N D IM P O R T A N C E : N eurenteric cysts are very rare (particu- ever, no webbing was noticed. In the forward bending test, he exhibited a rib larly in the adult age group) congenital intraspinal cysts of endodermal hump deformity on the left side. His left origin. The patient described was a 48-year-old man who was diagnosed shoulder was slightly higher than his as having an isolated thoracic neurenteric cyst at the T5-T6 level, w ithout right. In the m otor examination, his u p ­ a mediastinal enterogenous cyst. Radiological studies demonstrated m ul­ per extremities appeared normal and tiple anterior vertebral colum n abnorm alities. his right lower extremity was slightly CLINICAL PRESENTATION: The patient presented with a long history of mild weaker than his left (4, on a scale of 0 - 5 , midback pain. During the 2 years preceding admission, his midback pain wors­ in strength). Light touch, pain, and tem ­ ened and he experienced right intercostal pain in the midthoracic area. Several perature sensations and proprioception months before admission, he noticed right lower extremity weakness, which led were normal....
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Publisher
Oxford University Press
Copyright
© Published by Oxford University Press.
ISSN
0148-396X
eISSN
1524-4040
D.O.I.
10.1097/00006123-199911000-00051
Publisher site
See Article on Publisher Site

Abstract

AbstractOBJECTIVE AND IMPORTANCE:Neurenteric cysts are very rare (particularly in the adult age group) congenital intraspinal cysts of endodermal origin. The patient described was a 48-year-old man who was diagnosed as having an isolated thoracic neurenteric cyst at the T5-T6 level, without a mediastinal enterogenous cyst. Radiological studies demonstrated multiple anterior vertebral column abnormalities.CLINICAL PRESENTATION:The patient presented with a long history of mild midback pain. During the 2 years preceding admission, his midback pain worsened and he experienced right intercostal pain in the midthoracic area. Several months before admission, he noticed right lower extremity weakness, which led him to undergo neurological evaluation and radiological studies.INTERVENTION:Thoracic spine x-rays revealed marked thoracic scoliosis and multiple vertebral abnormalities. Magnetic resonance imaging and myelography revealed an intradural extramedullary cystic mass at the T5-T6 level, severely compressing the spinal cord from the ventral side. Thoracic laminectomy was performed and the cystic lesion was completely removed, with disconnection of the ventral tractCONCLUSION:This is an unusual presentation, at this age, of a congenital intraspinal cyst in the thoracic area. Such cysts must investigated for early diagnosis and treatment. A neurenteric cyst should be suspected particularly if the cyst is associated with anterior vertebral column abnormalities.

Journal

NeurosurgeryOxford University Press

Published: Nov 1, 1999

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