Wed, Nov 13, 2024
Volume 10 - Continuous Publishing
Iran J Neurosurg 2024, 10 - Continuous Publishing: 0-0 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Thavara B D, Parambil R M, Jose B V, Parol U, Sasi P K, Sai Sree Krishna G. A Rare Case of Spinal Intradural Neurenteric Cyst in a Septuagenarian Causing Acute Paraparesis. Iran J Neurosurg 2024; 10 : 15
URL: http://irjns.org/article-1-428-en.html
URL: http://irjns.org/article-1-428-en.html
Binoy Damodar Thavara * 
1, Rajeev Mandaka Parambil2 , Byjo Valiyaveetil Jose3 , Umasankar Parol4 , Prem kumar Sasi5 , Gorijavolu Sai Sree Krishna6
1, Rajeev Mandaka Parambil2 , Byjo Valiyaveetil Jose3 , Umasankar Parol4 , Prem kumar Sasi5 , Gorijavolu Sai Sree Krishna6
1- Associate Professor, Department of Neurosurgery, Government Medical College, Kozhikode, Kerala, India , drbinoytd@gmail.com
2- Professor of Neurosurgery, Department of Neurosurgery, Government Medical College, Kozhikode, Kerala, India
3- Associate Professor, Department of Neurosurgery, Government Medical College, Kozhikode, Kerala, India
4- Assistant Professor, Department of Pathology, Government Medical College, Kozhikode, Kerala state, India
5- Assistant Professor, Department of Neurosurgery, Government Medical College, Kozhikode, Kerala state, India
6- Senior Resident, Department of Neurosurgery, Government Medical College, Kozhikode, Kerala, India
2- Professor of Neurosurgery, Department of Neurosurgery, Government Medical College, Kozhikode, Kerala, India
3- Associate Professor, Department of Neurosurgery, Government Medical College, Kozhikode, Kerala, India
4- Assistant Professor, Department of Pathology, Government Medical College, Kozhikode, Kerala state, India
5- Assistant Professor, Department of Neurosurgery, Government Medical College, Kozhikode, Kerala state, India
6- Senior Resident, Department of Neurosurgery, Government Medical College, Kozhikode, Kerala, India
Abstract: (219 Views)
Background and Importance: Neurenteric cysts (NCs) account for 0.7 to 1.3% of all spinal tumors and are most commonly present during the first three decades of life. Only two cases have been reported in individuals in their 7th and 8th decades of life. This study described a rare case of an NC in a septuagenarian (70 – 79 years of age) who presented with atypical features of the disease.
Case Presentation: A 77-year-old female patient presented with acute onset paraparesis. Magnetic resonance imaging revealed a 13.6 × 14.1 × 15.4 mm intradural extramedullary cystic lesion, which was anteriorly located at the C7-D1 level. It was T1 hypointense, T2 hyperintense, and showed faint contrast enhancement at the junction between the cyst and the spinal cord. At surgery, a cyst with a greyish-white thin wall was noted in the spinal canal, displacing the spinal cord posteriorly. The cyst wall was partially excised, and a small portion adhering to the spinal cord was left behind. The histopathology report was consistent with an NC. At the 2-week follow-up, the patient’s lower limb strength had improved.
Conclusion: Although rare, NCs can present in the seventh decade of life. Magnetic resonance imaging may reveal unusual findings, like T1 hypointensity and faint contrast enhancement of the cyst wall. In elderly patients, a portion of the cyst wall may be left behind if it adheres to the spinal cord to avoid the risk of neurological deterioration.
Case Presentation: A 77-year-old female patient presented with acute onset paraparesis. Magnetic resonance imaging revealed a 13.6 × 14.1 × 15.4 mm intradural extramedullary cystic lesion, which was anteriorly located at the C7-D1 level. It was T1 hypointense, T2 hyperintense, and showed faint contrast enhancement at the junction between the cyst and the spinal cord. At surgery, a cyst with a greyish-white thin wall was noted in the spinal canal, displacing the spinal cord posteriorly. The cyst wall was partially excised, and a small portion adhering to the spinal cord was left behind. The histopathology report was consistent with an NC. At the 2-week follow-up, the patient’s lower limb strength had improved.
Conclusion: Although rare, NCs can present in the seventh decade of life. Magnetic resonance imaging may reveal unusual findings, like T1 hypointensity and faint contrast enhancement of the cyst wall. In elderly patients, a portion of the cyst wall may be left behind if it adheres to the spinal cord to avoid the risk of neurological deterioration.
Article number: 15
Type of Study: Case report |
Subject:
Basic Neurosurgery
Send email to the article author
| Rights and Permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright © The Author(s);
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
