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Child's Nervous System
Published in: Child's Nervous System 12/2018

01-12-2018 | Case Report

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

Authors: Jun-Hoe Kim, Kyu-Chang Wang, Ji Hoon Phi, Sung-Hye Park, Jung-Eun Cheon, Seung-Ki Kim

Published in: Child's Nervous System | Issue 12/2018

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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.
Literature
1.
Hassaneen W, Sawaya R (2017) Epidermoid, dermoid, and neurenteric cyst. In: Youmans and Winn HR (eds) Neurological surgery, 7th edn. Elsevier, New York, p 1186–1190CrossRef
2.
Kim CY, Wang KC, Choe G, Kim HJ, Jung HW, Kim IO, Chi JG, Cho BK (1999) Neurenteric cysts: its various presentation. Childs Nerv Syst 15(6–7):333–341PubMed
3.
de Oliveira RS, Cinalli G, Roujeau T, Sainte-Rose C, Pierre-Kahn A, Zerah M (2005) Neurenteric cysts in children: 16 consecutive cases and review of the literature. J Neurosurg 103:512–523PubMed
4.
Osborn AG, Salzmann KL, et al. (2015) Neurenteric cyst. In: Diagnostic imaging: brain. 3rd edn. Elsevier, New York, p 650-651
5.
Osborn AG, Preece MT (2006) Intracranial cysts: radiologic-pathologic correlation and imaging approach. Radiology 239:650–664CrossRef
6.
Preece MT, Osborn AG, Chin SS (2006) Intracranial neurenteric cysts: imaging and pathology spectrum. Am J Neuroradiol 27(6):1211–1216PubMed
7.
Chakraborty S, Priamo F, Loven T, Li J, Insinga S, Schulder M (2016) Supratentorial neurenteric cysts: case series and review of pathology, imaging, and clinical management. World Neurosurg 85:143–152CrossRef
8.
Chen CT, Lee CY, Lee ST, Chang CN, Wei KC, Wu CT (2016) Neurenteric cysts: risk factors and management of recurrence. Acta Neurochir 158:1325–1331CrossRef
9.
Yamamoto J, Shimajiri S, Akiba D (2017) Intracranial neurenteric cyst with an enhanced mural nodule and melanin pigmentation: radiologic-pathologic correlation. World Neurosurg 97:758.e11–758.e19CrossRef
10.
Christov C, Chrétien F, Brugieres P, Djindjian M (2004) Giant supratentorial enterogenous cyst: report of a case, literature review, and discussion of pathogenesis. Neurosurg 54(3):759–763CrossRef
11.
Janczar K, Tybor K, Papierz W (2014) Supratentorial neurenteric cyst—a case report. Neurol Neurochir Pol 48(3):219–222PubMed
12.
Junaid M, Kalsoom A, Khalid M, Bukhari SS (2014) Giant supratentorial neurenteric cyst. J Coll Physicians Surg Pak 24(Suppl 3):S214–S215PubMed
13.
Kachur E, Ang LC, Megyesi JF (2004) Intraparenchymal supratentorial neurenteric cyst. Can J Neurol Sci 31(3):412–416CrossRef
14.
Kitamura Y, Sasaki H, Hashiguchi A, Momoshima S, Shidoh S, Yoshida K (2014) Supratentorial neurenteric cyst with spontaneous repetitive intracystic hemorrhage mimicking brain abscess: a case report. Neurosurg Rev 37(1):153–159CrossRef
15.
MacMahon P, Iacob S, Bach SE, Elwood ET, Lin JJ, Avellino AM (2017) Neurosurgical management of a rare congenital supratentorial neurenteric cyst with associated nasal dermal sinus: case report. J Neurosurg Pediatr 20(6):521–525CrossRef
16.
Reddy R, Kumar M, Bhattacharjee S (2017) Atypical location of unusual supratentorial neurenteric cyst: a case report. Br J Neurosurg 11:1–3CrossRef
17.
Rim HT, Song JH, Kim ES, Kwon MJ (2016) Mucinous adenocarcinoma arising from a residual supratentorial neurenteric cyst and expressing mutated KRAS: a case report. Hum Pathol 58:146–151CrossRef
18.
Sampath S, Yasha TC, Shetty S et al (1999) Parasellar neurenteric cyst: unusual site and histology. Case report. Neurosurgery 44:1335–1337PubMed
19.
Mittal S, Petrecca K, Sabbagh AJ (2010) Supratentorial neurenteric cysts—a fascinating entity of uncertain embryopathogenesis. Clin Neurol Neurosurg 112:89–97CrossRef
20.
Graziani N, Dufour H, Figarella-Branger D, Donnet A, Bouillot P, Grisoli F (1995) Do the suprasellar neurenteric cyst and the colloid cyst constitute a same entity. Acta Neurochir 133(3–4):174–180CrossRef
21.
Simon JA, Olan WJ, Santi M (1997) Intracranial neurenteric cysts: a differential diagnosis and review. RadioGraphics 17:1587–1593CrossRef
22.
Pain M, Ghatan S (2017) Arachnoid cysts in childhood. In: Youmans and Winn HR (eds) Neurological surgery, 7th edn. Elsevier, New York, pp 1524–1530
23.
Rogg JM, Ahn SH, Tung GA, Reinert SE, Norén G (2005) Prevalence of hydrocephalus in 157 patients with vestibular schwannoma. Neuroradiology 47(5):344–351CrossRef
Metadata
Title
Intracranial neurenteric cyst arising at the suprasellar cistern with extension to middle cranial fossa
Authors
Jun-Hoe Kim
Kyu-Chang Wang
Ji Hoon Phi
Sung-Hye Park
Jung-Eun Cheon
Seung-Ki Kim
Publication date
01-12-2018
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 12/2018
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-018-3892-9

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