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Intracranial neurenteric cyst arising at the suprasellar cistern with extension to middle cranial fossa

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Abstract

Introduction

Intracranial neurenteric cysts are rare and are not often found in the supratentorial space. We present a case of an intracranial neurenteric cyst that arose at the suprasellar cistern with extension to the middle cranial fossa.

History

A 3-year-old girl presented with seizure. Neuroimaging showed a huge extra-axial cyst involving the suprasellar cistern and left middle cranial fossa. Under the impression of an arachnoid cyst, she underwent fenestration of the cyst with basal cisterns and ventricle. The pathologic diagnosis was neurenteric cyst. Four years after the surgery, MRI showed no recurrence but did show poorly developed myelination of the left temporal white matter. Three years after surgery, seizures recurred. We consider epilepsy surgery in case of uncontrolled seizure.

Discussion

We discuss the unique case of supratentorially located neurenteric cyst that is just treated by fenestration. A close follow-up is needed for children with intracranial neurenteric cysts to surveil not only recurrence of lesion but also normal brain development.

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Financial support

This research was supported by a grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HI12C0066).

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Authors and Affiliations

  1. Division of Pediatric Neurosurgery, Seoul National University College of Medicine, Seoul National University Children’s Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 110744, Republic of Korea

    Jun-Hoe Kim, Kyu-Chang Wang, Ji Hoon Phi & Seung-Ki Kim

  2. Department of Pathology, College of Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 110744, Republic of Korea

    Sung-Hye Park

  3. Division of Pediatric Radiology, Seoul National University College of Medicine, Seoul National University Children’s Hospital, Seoul, Republic of Korea

    Jung-Eun Cheon

  4. Division of Pediatric Neurosurgery, Seoul National University Children’s Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea

    Seung-Ki Kim

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  1. Jun-Hoe Kim
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  2. Kyu-Chang Wang
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Correspondence to Seung-Ki Kim.

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Kim, JH., Wang, KC., Phi, J.H. et al. Intracranial neurenteric cyst arising at the suprasellar cistern with extension to middle cranial fossa. Childs Nerv Syst 34, 2491–2495 (2018). https://doi.org/10.1007/s00381-018-3892-9

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  • DOI: https://doi.org/10.1007/s00381-018-3892-9

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