Microsurgical Excision of the Craniocervical Neurenteric Cysts by the Far-Lateral Transcondylar Approach: Case Report and Review of the Literature

Wei Shi; Da-Ming Cui; Jin-Long Shi; Zhi-Kai Gu; Shao-Qing Ju; Jian Chen

doi:10.1055/s-0030-1265823

Skull Base, Inhaltsverzeichnis

Skull Base 2010; 20(6): 435-442
DOI: 10.1055/s-0030-1265823

CASE REPORT

Microsurgical Excision of the Craniocervical Neurenteric Cysts by the Far-Lateral Transcondylar Approach: Case Report and Review of the Literature

Wei Shi¹ [*] , Da-Ming Cui² [*] , Jin-Long Shi¹ , Zhi-Kai Gu¹ , Shao-Qing Ju¹ , Jian Chen¹

¹Department of Neurosurgery, Surgical Research Center, Hospital Affiliated to Nantong University, Nantong, China
²Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China

Abstract

ABSTRACT

Neurenteric cysts in the anterior craniocervical junction (CCJ) region can be found in extremely rare cases. We report one case with craniocervical neurenteric cyst that was excised by the far-lateral transcondylar (FLT) approach. A 43-year-old man presented with a history of recurrent episodes of mild neck pain and dysesthesia in his bilateral hands of 2 years' duration with rapid deterioration 3 weeks prior to admission. Magnetic resonance imaging (MRI) of the CCJ region revealed a well-defined intradural cystic lesion located ventral from the pontomedullary junction to C1 vertebra with medulla and C1 cord compression. This patient underwent total excision of the lesion via the FLT approach without any postoperative neurological deficits, and the histopathologic diagnosis was neurenteric cyst. Follow-up MRI has revealed no evidence of recurrence. The clinical features, imaging studies, and surgical approach options involved in resecting craniocervical neurenteric cysts are discussed, along with a review of the literature.

KEYWORDS

Neurenteric cyst - microsurgery - far-lateral transcondylar approach - craniocervical junction

Volltext

Referenzen

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1 These two authors contributed equally to this work

Jian ChenM.D.

Department of Neurosurgery, Xisi Road 20#

Nantong, Jiangsu Province, China 226001

eMail: sw740104@hotmail.com