American Journal of Medical Case Reports
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American Journal of Medical Case Reports. 2021, 9(8), 407-410
DOI: 10.12691/ajmcr-9-8-6
Open AccessArticle

Neurenteric Cyst at Craniovertebral Junction: An Uncommon Presentation

Sharif Al Qadhi1, Simin Laiq2, Neeraj Salhotra1, , Jospaul Lukas3, Zahra Al Hajri2, Bashar Al Tunbi1, Fahad Al Kheder1, Mohammad Hashim1, Muna Al Jabri2 and Afaf Rashid Al Hatmi1

1Department of Neurosurgery, Khoula Hospital, Muscat, Oman

2Department of Neuropathology, Khoula Hospital, Muscat, Oman

3Department of Neuroradiology Neuropathology, Khoula Hospital, Muscat, Oman

Pub. Date: April 29, 2021

Cite this paper:
Sharif Al Qadhi, Simin Laiq, Neeraj Salhotra, Jospaul Lukas, Zahra Al Hajri, Bashar Al Tunbi, Fahad Al Kheder, Mohammad Hashim, Muna Al Jabri and Afaf Rashid Al Hatmi. Neurenteric Cyst at Craniovertebral Junction: An Uncommon Presentation. American Journal of Medical Case Reports. 2021; 9(8):407-410. doi: 10.12691/ajmcr-9-8-6


Neurenteric cysts, also known as endodermal cysts and enterogenous cysts, are rare benign cysts. Neurenteric cysts may be associated with congenital malformations, such as spinal dysraphism, or may occur as solitary lesions. Most are located in the spine, in the intradural, extramedullary and intraspinal space. Rare examples may occur intracranially, and rarer examples may occur at the craniovertebral junction. Clinically, solitary neurenteric cysts present with mass effect symptoms such as compression of spinal cord and adjacent nerve roots. We present a case of a 28-year-old male patient with a histologically confirmed neurenteric cyst located at the cervicomedullary or craniovertebral junction with presenting symptoms of neck pain and severe debilitating weakness of all four limbs. The patient underwent successful surgical resection, with gradual improvement in his symptoms. We also present a review of literature, including the clinical features, histological characteristics, and management options for patients with neurenteric cyst in the craniovertebral junction.

Neurenteric cyst enterogenous cyst cervicomedullary junction craniovertebral junction far-lateral approach

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[1]  L. Wang, J. Zhang, Z. Wu, L. Zhang, S Hao, et al. Diagnosis and management of adult intracranial neurenteric cysts. Neurosurgery, 68 (1) (2011), pp. 44-52.
[2]  Sathwik Raviraj, Shetty, Manas Panigrahi, Satish Rao, et al. Neurenteric cyst at the craniovertebral junction: A report of two cases. Asian J Neurosurg. 2013 Oct-Dec; 8(4): 188-191.
[3]  CR Thambidorai, I Muin, J Razman, et al. Currarino triad with dual pathology in the presacral mass: report of a case. Dis Colon Rectum. 46: 974-977. 2003 12847376.
[4]  TS Paleologos, M Thom, DG Thomas. Spinal neurenteric cysts without associated malformations. Are they the same as those presenting in spinal dysraphism? Br J Neurosurg. 14: 185-194 2000. 1091219.
[5]  R Wilkins, G Odom. Spinal intradural cysts. In; Vinken P, Bruyn G eds. Handbook of Clinical Neurology. Amsterdam: North-Holland, 1976; 55-102.
[6]  Shi W, Cui DM, Shi JL, Gu ZK, Ju SQ, Chen J. Microsurgical excision of the craniocervical neurenteric cysts by far-lateral transcondylar approach: Case report and review of the literature. Skull base. 2010; 20: 435-42.
[7]  T Fuse , K Yamada, K Kamiya, H Inagaki, Formos. Neurenteric cyst at the craniovertebral junction: report of two cases. Surg Neurol 1998 Nov; 50(5): 431-6.
[8]  W Y Lee, H M Tseng, M C Lin, S M Chuang. Neurenteric cyst at craniocervical junction: report of a case. Med Assoc 1992 Jul; 91(7): 722-4.
[9]  K Abe , K Oyama, K Mori, S Ishimaru, M Eguchi, M Maeda. Neurenteric cyst of the craniocervical junction-case report. Neurol Med Chir (Tokyo) 1999 Nov; 39(12): 875-80.
[10]  A.J. Gauden, V. G. Khurana, A.E. Tsui, A.H. Kaye. Intracranial neuroenteric cysts: a concise review including an illustrative patient. J Clin Neurosci, 19 (3) (2012), pp. 352-359.
[11]  C.T. Chen, C.Y. Lee, S.T. Lee, C.N. Chang, K.C. Wei, C.T. Wu. Neurenteric cysts: risk factors and management of recurrence. Acta Neurochirurgica, 158 (7) (2016), pp. 1325-1331.