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Neurenteric cyst of the anterior cranial fossa: case report and literature review

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Abstract

Intracranial neurenteric cysts are rare congenital lesions that typically occur in the posterior fossa. We report a case of a 70-year-old gentleman presenting with gait disturbance, found to have a neurenteric cyst primarily arising from and expanding the sella turcica. A review of the literature revealed 27 reports of supratentorial neurenteric cysts. Clinical presentation, radiological characteristics, treatment, prognosis and embryological origin are discussed. Intracranial neurenteric cysts should be included in the differential with any well-demarcated cystic lesion without enhancement on magnetic resonance imaging (MRI). Complete surgical excision is the treatment of choice, with good prognosis.

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References

  1. Basheer N, Kasliwal MK, Suri A, Sharma MC, Arora A, Sharma BS (2010) Lareal extradural, supratentorial neurenteric cyst. J Clin Neurosci 17:639–641

    Article  PubMed  Google Scholar 

  2. Bavetta S, El-shunnar K, Hamlyn PJ (1996) Neurenteric cyst of the anterior cranial fossa. Br J Neurosurg 10(2):225–227

    Article  PubMed  CAS  Google Scholar 

  3. Bejjani GK, Wright DC, Schessel D, Sekhar LN (1998) Endodermal cysts of the posterior fossa, report of three cases and review of the literature. J Neurosurg 89(2):326–335

    Article  PubMed  CAS  Google Scholar 

  4. Campbell DA, Varma TR (1991) An extraventricular colloid cyst: case report. Br J Neurosurg 5(5):519–522

    Article  PubMed  CAS  Google Scholar 

  5. Chaynes P, Thorn-Kany M, Sol JC, Arué P, Lagarrigue J, Manelfe C (1998) Imaging in neurenteric cysts of the posterior cranial fossa. Neuroradiology 40:374–376

    Article  PubMed  CAS  Google Scholar 

  6. Cheng JS, Cusick JF, Ho KC, Ulmer JL (2002) Lateral supratentorial endodermal cyst: case report and review of literature. Neurosurgery 51(2):493–499

    PubMed  Google Scholar 

  7. Christov C, Chretien F, Brugieres P, Djindjian M (2004) Giant supratentorial enterogenous cyst: report of a case, literature review, and discussion of pathogenesis. Neurosurgery 54(3):759–763

    Article  PubMed  Google Scholar 

  8. Dunham CP, Curry B, Hamilton M (2009) Malignant transformation of an intraaxial supratentorial neurenteric cyst-case report and review of literature. Clin Neuropathol 28(6):460–466

    PubMed  CAS  Google Scholar 

  9. Giombini S, Lodrini S, Migliavacca F (1981) Intracranial enterogenous cyst. Surg Neurol 16:271–273

    Article  PubMed  CAS  Google Scholar 

  10. Graziani N, Dufour H, Figarella-Branger D, Donnet A, Bouillot P, Grisoli F (1995) Do the suprasellar neurenteric cyst, the Rathke cleft cyst and the colloid cyst constitute the same entity? Acta Neurochir (Wien) 133(3–4):174–180

    Article  CAS  Google Scholar 

  11. Ho LC, Olivi A, Cho CH, Burger PC, Simeone F, Tihan T (1998) Well-differentiated papillary adenocarcinoma arising in a supratentorial enterogenous cyst: case report. Neurosurgery 43(6):1474–1477

    PubMed  CAS  Google Scholar 

  12. Inoue T, Kawahara N, Shibahara J, Masumoto T, Usami K, Kirino T (2004) Extradural neurenteric cyst of the cerebellopontine angle: case report. J Neurosurg 100:1091–1093

    Article  PubMed  Google Scholar 

  13. Kachur E, Ang LC, Megyesi JF (2004) Intraparenchymal supratentorial neurenteric cyst. Can J Neurol Sci 31(3):412–416

    PubMed  Google Scholar 

  14. Knight G, Griffiths T, Williams I (1955) Gastrocystoma of the spinal cord. Br J Surg 42(176):635–638

    Article  PubMed  CAS  Google Scholar 

  15. Leventer DB, Merriam JC, Defendini R, Behrens MM, Housepian EM, LeQuerica S, Blitzer A (1994) Enterogenous cyst of the orbital apex and superior orbital fissure. Ophthalmology 101(9):1614–1621

    PubMed  CAS  Google Scholar 

  16. List CF, Williams JR (1961) Subdural epithelial cyst in the interhemispheral fissure. Report of a case, with some remarks concerning the classification of intracranial and thelial cysts. J Neurosurg 18:690–693

    Article  PubMed  CAS  Google Scholar 

  17. Marchionni M, Smith C, Eljamel MS (2008) Intracranial enterogenous cyst extending into both supratentorial and infratentorial compartments: case report and review of the literature. Skull Base 18:213–216

    Article  PubMed  CAS  Google Scholar 

  18. Mishra GP, Sharma RR, Musa MM, Pawar SJ (2000) Endodermal cyst of septum pellucidum and pregnancy: a case report. Surg Neurol 53(6):583–585

    Article  PubMed  CAS  Google Scholar 

  19. Mittal S, Petrecca K, Sabbagh AJ, Rayes M, Melançon D, Guiot MC, Olivier A (2010) Supratentorial neurenteric cysts-A fascinating entity of uncertain embryopathogenesis. Clin Neurol Neurosurg 112(2):89–97

    Article  PubMed  Google Scholar 

  20. Miyagi A, Katayama Y (2007) Neurenteric cyst arising in the high convexity parietal lesion: case report. Neurosurgery 60(1):203–204

    Article  Google Scholar 

  21. Morgan MA, Enterline DS, Fukushima T, McLendon RE, Cummings TJ (2001) Endodermal cyst of the oculomotor nerve. Neuroradiology 43:1063–1066

    Article  PubMed  CAS  Google Scholar 

  22. Neckrysh S, Valyi-Nagy T, Charbel FT (2006) Neuroenteric cyst of the anterior cranial fossa: case report and review of the literature. Surg Neurol 65(2):174–177

    Article  PubMed  Google Scholar 

  23. Preece MT, Osborn AG, Chin SS, Smirniotopoulos JG (2006) Intracranial neurenteric cysts: imaging and pathology spectrum. AJNR Am J Neuroradiol 27:1211–1216

    PubMed  CAS  Google Scholar 

  24. Reddy RS, Vijayasaradhi M, Uppin MS, Challa S (2010) A rare case of extradural neurenteric cyst with supratentorial and infratentorial extension. Acta Neurochir (Wien) 152(11):1957–1959

    Article  Google Scholar 

  25. Sampath S, Yasha TC, Shetty S, Chandramouli BA (1999) Parasellar neurenteric cyst: unusual site and histology: case report. Neurosurgery 44(6):1335–1337

    PubMed  Google Scholar 

  26. Scaravilli F, Lidov H, Spalton DJ, Symon L (1992) Neuroenteric cyst of the optic nerve: case report with immunohistochemical study. J Neurol Neurosurg Psychiatry 55(12):1197–1199

    Article  PubMed  CAS  Google Scholar 

  27. Simon JA, Olan WJ, Santi M (1997) Intracranial neurenteric cysts: a differential diagnosis and review. Radiographics 17:1587–1593

    PubMed  CAS  Google Scholar 

  28. Stubenvoll F, Beschorner R, Danz S, Freudenstein D (2006) Fronto-laterally located supratentorial bronchogenic cyst: case report and review of the literature. Clin Neuropathol 25(3):123–127

    PubMed  CAS  Google Scholar 

  29. Takumi I, Mori O, Mizutani N, Akimoto M, Kobayashi S, Teramoto A (2008) Expansile neurenteric cyst arising in the frontal lobe associated with status epilepticus: report of a case and discussion of epileptogenesis. Brain Tumor Pathol 25(2):97–101

    Article  PubMed  Google Scholar 

  30. Tan GS, Hortobagyi T, Al-Sarraj S, Connor SE (2004) Intracranial laterally based supratentorial neurenteric cyst. Br J Radiol 77(923):963–965

    Article  PubMed  CAS  Google Scholar 

  31. Tubbs RS, Salter EG, Oakes WJ (2006) Neurenteric cyst: case report and a review of the potential dysembryology. Clin Anat 19(7):669–672

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, Addenbrooke’s Hospital, Hills Road, Box 167, Cambridge, CB2 0QQ, UK

    Mark W. Little, Mathew R. Guilfoyle, Diederik O. Bulters & Peter J. Kirkpatrick

  2. Department of Radiology, Addenbrooke’s Hospital, Hills Road, Box 167, Cambridge, CB2 0QQ, UK

    Daniel J. Scoffings

  3. Department of Pathology, Addenbrooke’s Hospital, Hills Road, Box 167, Cambridge, CB2 0QQ, UK

    Dominic G. O’Donovan

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  1. Mark W. Little
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  2. Mathew R. Guilfoyle
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  3. Diederik O. Bulters
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  4. Daniel J. Scoffings
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  5. Dominic G. O’Donovan
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  6. Peter J. Kirkpatrick
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Correspondence to Mark W. Little.

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Little, M.W., Guilfoyle, M.R., Bulters, D.O. et al. Neurenteric cyst of the anterior cranial fossa: case report and literature review. Acta Neurochir 153, 1519–1525 (2011). https://doi.org/10.1007/s00701-011-1041-2

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  • DOI: https://doi.org/10.1007/s00701-011-1041-2

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