Paper Information

Journal:   ARCHIVES OF IRANIAN MEDICINE   January 2003 , Volume 6 , Number 1; Page(s) 59 To 62.
 
Paper: 

NEURENTERIC CYST OF THE CRANIOVERTEBRAL JUNCTION

 
 
Author(s):  FARAJI RAD M.*
 
*  MASHAD, IRAN
 
Abstract: 
Neurenteric cysts are rare malformations that lead to brain stem and spinal cord ‎compression. These cysts are derived from endoderm that is fused with the ‎developing notochord during the third week of gestation. A 3-year-old boy presented ‎with a 2-month history of torticollis and had developed paraparesis 2 weeks before ‎admission. Examination showed that he was quadriparetic. Plain radiography films ‎revealed widening of the cervical canal and pedicle erosion, while a hypointense ‎lesion on T1, at the craniovertebral junction, with a compression effect on the anterior ‎aspect of the brain stem and spinal cord were noted on magnetic resonance imaging. ‎C1 to C3 laminectomy as well as a suboccipital craniectomy were performed; upon ‎opening the dura, a cystic swelling was found to be protruding. Fluid was aspirated ‎from the cyst and after shrinkage, the cyst was removed completely. On the first day ‎after the surgery, the patients motor power improved significantly. This report ‎describes a rare form of neurenteric cyst in terms of both its location and unusual ‎presentation (torticollis).‎
 
Keyword(s): CENTRAL NERVOUS CYST, ENDODERM, ENTROGENOUS CYST, NEURENTERIC CYST TORTICOLLIS
 
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