Childs Nerv Syst (2017) 33:1603–1607 DOI 10.1007/s00381-017-3487-x CASE REPORT Management of an unusual, recurrent neurenteric cyst in an infant: case report and review of the literature 1 2 3 1,2 Darian R. Esfahani & Laura Burokas & Henry G. Brown & Yoon S. Hahn & 1,2 Dimitrios Nikas Received: 23 May 2017 /Accepted: 8 June 2017 /Published online: 22 June 2017 Springer-Verlag GmbH Germany 2017 Abstract Introduction Purpose Neurenteric cysts are rare congenital remnants formed by a failure of separation between endoderm and ec- Neurenteric cysts are rare, benign lesions that make up any- toderm in utero. where from 0.3  to1.3% of spinal tumors. Neurenteric Methods We describe a case of a 7-month-old male with a cysts are congenital remnants formed from an anomalous con- large cervical neurenteric cyst presenting with intermittent nection between the endoderm and ectoderm during the third neck stiffness and irritability. week of life, leading to persistent endoderm in the spinal canal Results This cyst was resected, recurred, and required repeat with occasional connection between the spinal canal, gut, or surgery. The patient’s postoperative course included aseptic skin [3–5]. meningitis and hydrocephalus requiring ventriculoperitoneal These lesions, although rare, usually manifest in adults and shunt
Child's Nervous System – Springer Journals
Published: Jun 22, 2017
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