Isolated Intraspinal Neurenteric Cyst, Mimicking Arachnoid Cyst: A Case Report

  • Puspa Raj Koirala Institute of Medicine, Tribhuvan University Teaching hospital, Kathmandu, Nepal
  • Suman Phuyal Institute of Medicine, Tribhuvan university Teaching Hospital , Kathmandu, Nepal
  • Gopal Sedain Institute of Medicine, Tribhuwan University Teaching Hospital, Kathmandu, Nepal
  • Sushil Krishna Shilpakar Tribhuvan University Teaching Hospital, Kathmandu, Nepal
Keywords: Neurenteric cyst, Intraspinal tumor

Abstract

Neurenteric cysts account for 0.7-1.3% of spinal axis tumors. These uncommon lesions results from the inappropriate partitioning of the embryonic notochordal plate and presumptive endoderm during the third week of human development. Heterotopic nests of epithelium reminiscent of gastrointestinal and respiratory tissue lead to eventual formation of compressive cystic lesions of the pediatric and adult spine. We report a 40-year-old maleĀ  presenting with slow-progressive myelopathic manifestation and ovoid non-enhancing cysticintradural extramedullary lesion at C7 level on MRI, mimicking intraspinal arachnoid cyst, who underwent successful surgical excision. The histopathological examination prove it to be neurenteric cyst.

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Author Biographies

Puspa Raj Koirala, Institute of Medicine, Tribhuvan University Teaching hospital, Kathmandu, Nepal

Third year MCh Neurosurgical Resident

Suman Phuyal, Institute of Medicine, Tribhuvan university Teaching Hospital , Kathmandu, Nepal

Second year MCh Neurosurgical Resident

Gopal Sedain, Institute of Medicine, Tribhuwan University Teaching Hospital, Kathmandu, Nepal

Assistant Professor, Department of Neurosurgery

Sushil Krishna Shilpakar, Tribhuvan University Teaching Hospital, Kathmandu, Nepal

Professor, Head of Department of Neurosurgery

Published
2019-06-13
How to Cite
Koirala, P., Phuyal, S., Sedain, G., & Shilpakar, S. K. (2019). Isolated Intraspinal Neurenteric Cyst, Mimicking Arachnoid Cyst: A Case Report. Nepal Journal of Neuroscience, 16(1), 58-61. https://doi.org/10.3126/njn.v16i1.24437
Section
Case Report