Journal article
Neurenteric cysts at foramen magnum in children: presentation, imaging characteristics, and surgical management-case series and literature review
Child's nervous system, Vol.36(7), pp.1379-1384
07/2020
DOI: 10.1007/s00381-020-04604-8
PMID: 32322975
Abstract
Neurenteric cysts (NEC) are rare benign tumors of the central nervous system. Even more rare are the NEC at the ventral foramen magnum in children that are misdiagnosed. They cause distortion of the vertebrobasilar vascular system and cervicomedullary neural structures and are adherent to the latter. The inferior portion lies ventral to the upper most dentate ligament. This has implications in the surgical approach for complete excision.
We reviewed our series of five children with ventral foramen magnum NEC in the MRI era and analyzed presentation, radiological findings and surgical management. A literature review is also presented.
There were two females and five males. Headache and neurological deficit was present in all five; one child presented with recurrent meningitis. The NEC was present ventral to the cervicomedullary junction in all cases. The posterolateral transcondylar approach was used for complete excision with no recurrences.
Neurenteric cysts at the ventral foramen magnum can be confused with other cystic lesions. Headaches are the most common presentation. The posterolateral transcondylar approach to the ventral cervicomedullary junction provides the most reliable avenue for entire resection.
Details
- Title: Subtitle
- Neurenteric cysts at foramen magnum in children: presentation, imaging characteristics, and surgical management-case series and literature review
- Creators
- Arnold H Menezes - Department of Neurosurgery, University of Iowa Hospitals & Clinics, Stead Family Children's Hospital, 200 Hawkins Drive, 1824 JPP, Iowa City, IA, 52242, USA. arnold-menezes@uiowa.eduBrian J Dlouhy - Department of Neurosurgery, University of Iowa Hospitals & Clinics, Stead Family Children's Hospital, 200 Hawkins Drive, 1824 JPP, Iowa City, IA, 52242, USA
- Resource Type
- Journal article
- Publication Details
- Child's nervous system, Vol.36(7), pp.1379-1384
- Publisher
- Germany
- DOI
- 10.1007/s00381-020-04604-8
- PMID
- 32322975
- ISSN
- 0256-7040
- eISSN
- 1433-0350
- Language
- English
- Date published
- 07/2020
- Academic Unit
- Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Neurosurgery; Otolaryngology
- Record Identifier
- 9984070761302771
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