Neurenteric cysts in children: 16 consecutive cases and review of the literature.

Abstract:

OBJECT:The authors of this retrospective review and analysis of the literature cover an institutional series of neurenteric cysts of the central nervous system in children treated in the magnetic resonance imaging era during a 14-year period. METHODS:Sixteen patients 20 days to 14 years of age are described. The most frequent signs and symptoms at presentation were acute spinal cord compression (11 patients), paresis of a cranial nerve (two patients), meningitis or infection (two patients), and intracranial hypertension (one patient). The locations of the cysts were as follows: in the spinal canal in 12 patients (75%), the clivus in two (12.5%), the cavernous sinus in one (6%), and the craniocervical junction in one (6%). The most common location was the ventral aspect of the spinal canal (seven patients). Associated spinal deformities were found in five patients. All patients underwent surgery, with a posterior approach used in all of the spinal cases. Total resection was achieved in 12 of the 16 cases and partial resection in four. Of the four patients who underwent subtotal resection, the cyst recurred in three, requiring further surgery. CONCLUSIONS:Neurenteric cysts are uncommon congenital anomalies that can present acutely in the pediatric population. Total removal is usually possible and is associated with a good prognosis.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

de Oliveira RS,Cinalli G,Roujeau T,Sainte-Rose C,Pierre-Kahn A,Zerah M

doi

10.3171/ped.2005.103.6.0512

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

512-23

issue

6 Suppl

eissn

0022-3085

issn

1933-0693

journal_volume

103

pub_type

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