CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2020; 30(04): 513-516
DOI: 10.4103/ijri.IJRI_262_19
Case Report

Upper cervical spinal bronchogenic cyst: A rare lesion at an exceptional location

Viral Patel
Departments of Radio-Diagnosis, Pramukh Swami Medical College and Shree Krishna Hospital, Karamsad, Gujarat, India
,
Shreya Desai
Departments of Radio-Diagnosis, Pramukh Swami Medical College and Shree Krishna Hospital, Karamsad, Gujarat, India
,
Vishal Thakkar
Departments of Radio-Diagnosis, Pramukh Swami Medical College and Shree Krishna Hospital, Karamsad, Gujarat, India
,
Sanjay Chaudhari
Departments of Pathology, Pramukh Swami Medical College and Shree Krishna Hospital, Karamsad, Gujarat, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

An intraspinal bronchogenic cyst is a rare but important cause of compressive cord myelopathy, commonly seen in the cervicothoracic spine. We report a case of a 30-year-old female, presented with complaints of neck pain and progressive weakness of the extremities. The magnetic resonance imaging of the cervical spine revealed an intradural extramedullary, well-defined, multiloculated, cystic lesion in the upper cervical canal extending from the C2 to C5 vertebral levels. To our knowledge, only 11 cases of spinal bronchogenic cysts have been reported in the literature so far. We discuss the rare location of this unusual lesion, possible embryological reasons, and the overall surgical outcome.



Publication History

Received: 18 June 2019

Accepted: 21 September 2020

Article published online:
14 July 2021

© 2020. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Rao GP, Bhaskar G, Reddy PK. Cervical intradural extramedullary bronchogenic cyst. Neurol India 1999; 47: 79-81
  • 2 Chaney K, Barclay GP. Entrogenous cysts and congenital diverticula of the alimentary canal with abnormalities of the vertebral column and spinal cord. J Pathol Bacteriol 1959; 77: 457-71
  • 3 Baumann CR, Könü D, Glatzel M, Seigel AM. Thoracolumbar intradural extramedullary bronchogenic cyst. Acta Neurochir (Wien) 2005; 147: 317-9 discussion 319
  • 4 Zambudio AR, Lanzas JT, Calvo MJ, Fernández PJ, Paricio PP. Non-neoplastic mediastinal cysts. Eur J Cardiothorac Surg 2002; 22: 712-6
  • 5 Liu QP, Zhang JN, Zhang L, Han Z, Ma J, Zhou CW. et al. An acute case of paraplegia and spinal bronchogenic cyst. J Orthop Sci 2015; 20: 923
  • 6 Fiorelli A, Rambaldi P, Accardo M, Santini M. Malignant transformation of bronchogenic cyst revealed by 99mTc-MIBI-SPECT. Asian Cardiovasc Thorac Ann 2012; 20: 347-9
  • 7 Ma X, Li W, Niu C, Liang F, Guo L, Shakir TM. et al. Intraspinal bronchogenic cyst: Series of case reports and literature review. J Spinal Cord Med 2017; 40: 141-6
  • 8 Yamashita J, Maloney AF, Harris P. Intradural spinal bronchogenic cyst: Case report. J Neurosurg 1973; 39: 40-5
  • 9 Agnoli AL, Laun A, Schonmayr R. Enterogenous intraspinal cysts. J Neurosurg 1984; 61: 834-40
  • 10 Bocciolini C, Dall’olio D, Cunsolo E, Latini G, Gradoni P, Laudadio P. Cervical bronchogenic cyst: Asymptomatic neck mass in an adult male. Acta Otolaryngol 2006; 126: 553-6
  • 11 Arnold PM, Neff LL, Anderson KK, Reeves AR, Newell KL. Thoracic myelopathy secondary to intradural extramedullary bronchogenic cyst. J Spinal Cord Med 2009; 32: 595-7
  • 12 Jain SK, Chopra S, Mathur PP. Thoracic neurenteric cyst in a 60 year old male. Neurol India 2004; 52: 402-3
  • 13 Zou MX, Hu JR, Kang YJ, Li J, Lv GH, She XL. et al. Bronchogenic cyst of the conus medullaris with spinal cord tethering: A case report and review of the literature. Int J Clin Exp Pathol 2015; 8: 3937-42
  • 14 Wang MY, Levi AD, Green BA. Intradural spinal arachnoid cysts in adults. Surg Neurol 2003; 60: 49-55 discussion 56
  • 15 Chongyi S, Meng Y, Dejun Y, Yingjie L, Qingpeng L. Lumbar intradural extramedullary bronchiogenic cyst. Eur Surg Res 2008; 40: 26-8
  • 16 Ko KS, Jeun SS, Lee YS, Park CK. Sacral intraspinal bronchogenic cyst: A case report. J Korean Med Sci 2008; 23: 895-7
  • 17 Baba H, Furusawa N, Chen Q, Imura S, Tomita K. Anterior decompressive surgery for cervical ossified posterior longitudinal ligament causing myeloradiculopathy. Paraplegia 1995; 33: 18-24
  • 18 Wilkinson N, Reid H, Hughes D. Intradural bronchogenic cysts. J Clin Pathol 1992; 45: 1032-3
  • 19 Silbergleit R, Brunberg JA, Patel SC, Mehta BA, Aravapalli SR. Imaging of spinal intradural arachnoid cysts: MRI, myelograph?y and CT. Neuroradiology 1998; 40: 664-8
  • 20 Karadag D, Karagulle AT, Erden A, Erden I. MR imaging of a ruptured intraspinal dermoid tumour with fat droplets in the central spinal canal. Australas Radiol 2002; 46: 444-6
  • 21 Manzo G, De Gennaro A, Cozzolino A, Martinelli E, Manto A. DWI findings in a iatrogenic lumbar epidermoid cyst. A case report. Neuroradiol J 2013; 26: 469-75
  • 22 Pandey S, Sharma V, Shinde N, Ghosh A. Spinal intradural extramedullary mature cystic teratoma in an adult: A rare tumor with review of literature. Asian J Neurosurg 2015; 10: 133-7
  • 23 Gauden AJ, Khurana VG, Tsui AE, Kaye AH. Intracranial neuroenteric cysts: A concise review including an illustrative patient. J Clin Neurosci 2012; 19: 352-9