Abstract
This article describes a 16-year-old male patient, otherwise healthy, with intractable suboccipital pain due to an intradural, extramedullary bronchogenic cyst at C1 level. Computed tomographic and magnetic resonance imaging scans showed an extramedullary cystic lesion on the right anterolateral side of the spinal cord at C1 level. No other vertebral, spinal cord, or cutaneous abnormality was associated. The patient underwent posterolateral resection of the C1 bony ring on the right side, followed by complete removal of a cyst microsurgically. Histology suggested that the mass, with its contents of slightly viscous and opaque liquid, was an atypical form of bronchogenic cyst with abundant pseudostratified ciliated epithelial cells.
Similar content being viewed by others
Article PDF
References
Bier R, Ethier S . Congenital bronchogenic cyst. J Can Assoc Radiol 1978; 29: 69–70.
Swarnaker M, Behera D, Suri R K, Malik S K . Congenital bronchial cyst. Indian J Chest Dis Allied Sci 1989; 31: 279–282.
Uyama T, Monden Y, Sumitomo, K, Miura K, Kinura S . Carcino-embryonic antigen and serum carbohydrate antigen 19–9 in benign pulmonary or mediastinal cystic lesions. J Surg Oncol 1989; 41: 103–108.
Duthel R, Brunon J, Michel D, Boucheron S . Kyste broncho-genique intramedullaire. A propos d'un cas. Discussion du syndrome d'adhesion endo-ectodermique. Neurochirurgie (Paris) 1983; 29: 155–160.
Yamashita J, Maloney A F J, Harris P . Intradural spinal bronchogenic cyst: case report. J Neurosurg 1973; 39: 240–245.
Arai Y et al. Spinal neurenteric cyst. Spine 1992; 17: 1421–1424.
LeDoux M S et al. Lumbosacral neurenteric cyst in an infant. J Neurosurg 1993; 78: 821–825.
Lerma S et al. Intradural neurenteric cyst. Neurochirurgia (Stuttg) 1985; 28: 228–23.
Rivierez M et al. Kyste neuro-enterique intramedullaire sans malformation associee. Un cas. Neurochirurgie (Paris) 1989; 35: 191–195.
Schmidbauer M et al. Atypical vertebral artery in a patient with an intra- and extraspinal cervical neurenteric cyst. Acta Neurochir (Wien) 1991; 109: 150–153.
Macdonald R L, Schwarz M L, Lewis A J . Neurenteric cyst located dorsal to the cervical spine: case report. Neurosurgery 1991; 28: 583–587.
Mann K S, Kholsa V K, Gulati D R, Malik A K . Spinal neurenteric cyst. Association with vertebral anomalies, diastemato-myelia, dorsal fistula, and lipoma. Surg Neurol 1984; 21: 358–362.
Bentley J F R, Smith J R . Developmental posterior enteric remnants and spinal malformation. The split notochord syndrome. Arch Dis Child 1960; 35: 76–86.
Matsushima T, Fukui M, Egami H . Epithelial cells in a so-called intraspinal neurenteric cyst: a light and electron microscopic study. Surg Neurol 1985; 24: 656–660.
Wilkinson N, Reid H, Hughes D . Intradural bronchogenic cysts. J Clin Pathol 1992; 45: 1032–1033.
Ho K L, Tiel R . Intraspinal bronchogenic cyst: ultrastructural study of the lining epithelium. Acta Neuropathol 1989; 78: 513–520.
Wilkins R H, Odom G L . Spinal intradural cysts. In: Vinken PJ, Bruyn GW (eds). Handbook of Clinical Neurology. Vol 20. North Holland Publishing: Amsterdam, Oxford, New York, pp 55–102.
Koksel T, Revesz T, Crockard H A . Craniospinal neurenteric cyst. Br J Neurosurg 1990; 4: 425–428.
Hasegawa H et al. Lateral approach to the anterior foramen magnum tumor. No- Sinkeigeka (Tokyo) 1988; 16: 1517–1520.
Lee W Y, Tseng H M, Chuang S M . Neurenteric cyst at cranio-cervical junction. J Formos Med Assoc 1992; 91: 722–724.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Baba, H., Okumura, Y., Ando, M. et al. A high cervical intradural extramedullary bronchogenic cyst. Case report. Spinal Cord 33, 228–232 (1995). https://doi.org/10.1038/sc.1995.51
Issue Date:
DOI: https://doi.org/10.1038/sc.1995.51
Keywords
This article is cited by
-
Unusual presentation of intradural endodermal cysts in young children under 2Â years of age. Report of two cases
European Journal of Pediatrics (2006)