Summary
A 15 year old girl experienced Homer's syndrome on the right side, paraesthesia of the right arm and meningitis. CT and MRI showed a cystic lesion on the right side of the cervical spine at C3/C4 which descended with an extraspinal portion down to C6. Histology revealed a complex neurenteric cyst. The ipsilateral vertebral artery showed an atypical course. This abnormal artery besides a partial fusion of the vertebrae C2/C3/C4 suggest a complex malformation at the site of the cyst.
Disturbed developmental relationships in this case indicate that pathological blood vessels may represent a risk factor in the surgical treatment of neurenteric cysts.
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Schmidbauer, M., Reinprecht, A., Schuster, H. et al. Atypical vertebral artery in a patient with an intra- and extraspinal cervical neurenteric cyst. Acta neurochir 109, 150–153 (1991). https://doi.org/10.1007/BF01403012
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DOI: https://doi.org/10.1007/BF01403012