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Ventral brain-stem compression from a subarachnoid ependymal cyst

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Abstract

A case of ventral brain-stem compression by a congenital subarachnoid ependymal cyst in an infant is presented. Marsupialization of the cyst provided effective decompression and clinical improvement. Immunohistochemical staining demonstrated the glial nature of the epithelium. The fact that these cysts may be congenital, as demonstrated here, supports the hypothesis that they arise from glia elements that have been displaced during development.

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References

  1. Aicardi J, Bauman F (1975) Supratentorial extracerebral cysts in infants and children. J Neurol Neurosurg Psychiatry 38:57–68

    Article  CAS  PubMed  Google Scholar 

  2. Alvord EC, Marcuse PM (1962) Intracranial cerebellar meningoencephalocoele by compression at the incisura tentorii. J Neuropathol Exp Neurol 21:50–69

    Article  PubMed  Google Scholar 

  3. Andrews BT, Halks-Miller M, Berger MS, Rosenblum ML, Wilson CB (1984) Neuroepithelial cysts of the posterior fossa: pathogenesis and report of two cases. Neurosurgery 15:91–95

    Article  CAS  PubMed  Google Scholar 

  4. Barth PG, Uylings HBM, Stain FC (1984) Interhemispheral neuroepithelial (glio-ependymal) cysts associated with agenesis of the corpus callosum and neocortical maldevelopment: a case study. Child's Brain 11:312–319

    CAS  PubMed  Google Scholar 

  5. Cooper IS, Kernohan JW (1962) Heterotopic glial nests in the subarachnoid space: histopathologic characteristics, mode of origin and relation to meningeal gliomas. J Neuropathol Exp Neurol 21:50–69

    Article  Google Scholar 

  6. Friede RL (1975) Developmental neuropathology. Springer, New York Wien, pp 196–203

    Google Scholar 

  7. Friede RL, Yasargil MG (1977) Supratentorial intracerebral epithelial (ependymal) cysts: review, case reports, and fine structure. J Neurol Neurosurg Psychiatry 40:127–137

    Article  CAS  PubMed  Google Scholar 

  8. Hamby WB, Gardner WJ (1935) An ependymal cyst in the quadrigeminal region: report of a case. Arch Neurol Psychiatry 33:391–398

    Google Scholar 

  9. Handa H, Bucy PC (1956) Benign cysts of brain simulating brain tumor. J Neurosurg 13:489–499

    Article  PubMed  Google Scholar 

  10. Harrison MJG (1971) Cerebral arachnoid cysts in children. J Neurol Neurosurg Psychiatry 34:316–323

    Article  CAS  PubMed  Google Scholar 

  11. Hirai O, Kawamura J, Fukumitsu T (1981) Prepontine epithelium-lined cyst: case report. J Neurosurg 55:312–317

    Article  CAS  PubMed  Google Scholar 

  12. Hirano A, Ghatak NR, Wisoff HS, Zimmerman HM (1971) An epithelial cyst of the spinal cord: an electron microscopic study. Acta Neuropathol 18:214–223

    Article  CAS  PubMed  Google Scholar 

  13. Ho KL, Chason JL (1987) A glioependymal cyst of the cerebellopontine angle: immunohistochemical and ultrastructural studies. Acta Neuropathol 74:382–388

    Article  CAS  PubMed  Google Scholar 

  14. Hyman I, Hamby WB, Sanes S (1938) Ependymal cyst of the cervicodorsal region of the spinal cord. Arch Neurol Psychiatry 40:1005–1012

    Google Scholar 

  15. Jakubiak P, Dunsmore RH, Beckett RS (1968) Supratentorial brain cysts. J Neurosurg 28:129–136

    Article  CAS  PubMed  Google Scholar 

  16. James HE (1989) Encephalocele, dermoid sinus, and arachnoid cyst. In: McLaurin RL, Schut L, Venes JL, Epstein F (eds) Pediatric neurosurgery, 2nd edn. Saunders, Philadelphia, pp 103–105

    Google Scholar 

  17. Koto A, Horoupian DS, Shulman K (1977) Choroidal epithelial cyst. Case report. J Neurosurg 47:955–960

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  19. Palma L (1975) Supratentorial epithelial cysts. Report to two cases. J Neurosurg 42:353–357

    Article  CAS  PubMed  Google Scholar 

  20. Patrick BS (1971) Ependymal cyst of the sylvian fissure. Case report. J Neurosurg 35:751–754

    Article  CAS  PubMed  Google Scholar 

  21. Popoff N, Feigin I (1964) Heterotopic central nervous tissue in subarachnoid space. Arch Pathol 78:533–539

    CAS  PubMed  Google Scholar 

  22. Rengachary SS (1985) Intracranial arachnoid and ependymal cysts. In: Wilkins RH, Rengachary SS (eds) Neurosurgery, McGraw-Hill, New York, pp 2160–2172

    Google Scholar 

  23. Schelper RL, Ramzy I, Durr N (1985) Ependymal cyst of the subarachnoid space: cytologic diagnosis and developmental considerations. Acta Cytol 29:44–48

    CAS  PubMed  Google Scholar 

  24. Schelper RL, Kagan-Hallet KS, Huntington HW (1986) Brainstem subarachnoid respiratory epithelial cysts: report of two cases and review of the literature. Hum Pathol 17:417–422

    Article  CAS  PubMed  Google Scholar 

  25. Tandon PN, Roy S, Eldvidge A (1972) Subarachnoid ependymal cyst. Report of two cases. J Neurosurg 37:741–745

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Neurological Surgery, University Hospitals of Cleveland, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA

    B. C. Warf & T. B. Mapstone

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  1. B. C. Warf
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  2. T. B. Mapstone
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Warf, B.C., Mapstone, T.B. Ventral brain-stem compression from a subarachnoid ependymal cyst. Child's Nerv Syst 6, 225–227 (1990). https://doi.org/10.1007/BF01850979

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  • DOI: https://doi.org/10.1007/BF01850979

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