Spinal neurenteric cyst

Changed by Henry Knipe, 4 Feb 2016

Updates to Article Attributes

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Neurenteric cysts isare a rare type of foregut duplication cyst, associated either with vertebral or central nervous system abnormalitiesaccounting for ~1% of all spinal cord tumours. They are usually classified as spinal or intra-cranialintracranial, and are associated with vertebral or CNS abnormalities respectively.

Pathology

TheNeurenteric cysts result from incomplete resorption of neurenteric canal. The intraspinal cysts are usually intradural extramedullary (80-90%)4 and ventral in location. They most commonly occur in the thoracic region (42(~40%).

Pathology

They result from incomplete resorption of neurenteric canal.

Radiographic features

CT

The cyst is seen as hypoattenuating lesion which may show soft tissue attenuation.

MRI

It is the investigation of choice and the appearance depends on the variable protein content.:

  • T1: variable signal intensity
  • T2: variable signal intensity

Treatment and prognosis

These lesions can recur and hence MRI is also used for follow up.

  • -<p>A <strong>neurenteric cyst</strong> is a type of <a href="/articles/foregut-duplication-cyst">foregut duplication cyst</a>, associated either with vertebral or central nervous system abnormalities. They are usually classified as spinal or intra-cranial.</p><p>The intraspinal cysts are usually extramedullary (80%) and ventral in location. They most commonly occur in the thoracic region (42%).</p><h4>Pathology</h4><p>They result from incomplete resorption of <a href="/articles/neurenteric-canal">neurenteric canal</a>.</p><h4>Radiographic features</h4><h5>CT</h5><p>The cyst is seen as hypoattenuating lesion which may show soft tissue attenuation.</p><h5>MRI</h5><p>It is the investigation of choice and the appearance depends on the variable protein content.</p><ul>
  • +<p><strong>Neurenteric cysts</strong> are a rare type of <a href="/articles/foregut-duplication-cyst">foregut duplication cyst</a>, accounting for ~1% of all spinal cord tumours. They are usually classified as spinal or intracranial, and are associated with vertebral or CNS abnormalities respectively. </p><h4>Pathology</h4><p>Neurenteric cysts result from incomplete resorption of <a href="/articles/neurenteric-canal">neurenteric canal</a>. The intraspinal cysts are usually intradural extramedullary (80-90%) <sup>4</sup> and ventral in location. They most commonly occur in the thoracic region (~40%).</p><h4>Radiographic features</h4><h5>CT</h5><p>The cyst is seen as hypoattenuating lesion which may show soft tissue attenuation.</p><h5>MRI</h5><p>It is the investigation of choice and the appearance depends on the variable protein content:</p><ul>
  • -</ul><p>These lesions can recur and hence MRI is also used for follow up.</p>
  • +</ul><h4>Treatment and prognosis</h4><p>These lesions can recur and hence MRI is also used for follow up.</p>

References changed:

  • 4. Savage JJ, Casey JN, McNeill IT et-al. Neurenteric cysts of the spine. J Craniovertebr Junction Spine. 2010;1 (1): 58-63. <a href="http://dx.doi.org/10.4103/0974-8237.65484">doi:10.4103/0974-8237.65484</a> - <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2944853">Free text at pubmed</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/20890417">Pubmed citation</a><span class="auto"></span>
  • 4. Preece MT, Osborn AG, Chin SS et-al. Intracranial neurenteric cysts: imaging and pathology spectrum. AJNR Am J Neuroradiol. 27 (6): 1211-6. <a href="http://www.ajnr.org/cgi/content/citation/27/6/1211">AJNR Am J Neuroradiol (citation)</a> - <a href="http://www.ncbi.nlm.nih.gov/pubmed/16775266">Pubmed citation</a><div class="ref_v2"></div>

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