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Intraparenchymal Supratentorial Neurenteric Cyst

Published online by Cambridge University Press:  02 December 2014

Edward Kachur ,
Lee-Cyn Ang  and
Joseph F. Megyesi
Edward Kachur
Affiliation:
Division of Neurosurgery, Department of Clinical Neurological Sciences and Department of Pathology, London Health Sciences Centre, University of Western, Ontario, London, Ontario, Canada
Lee-Cyn Ang
Affiliation:
Division of Neurosurgery, Department of Clinical Neurological Sciences and Department of Pathology, London Health Sciences Centre, University of Western, Ontario, London, Ontario, Canada
Joseph F. Megyesi
Affiliation:
Division of Neurosurgery, Department of Clinical Neurological Sciences and Department of Pathology, London Health Sciences Centre, University of Western, Ontario, London, Ontario, Canada
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Abstract

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Background:

Neurenteric cysts are congenital cysts of the central nervous system that are believed to be of endodermal origin. In this report we present the unique case of a supratentorial neurenteric cyst that is contained entirely within the brain parenchyma.

Methods:

Apatient presented with an intraparenchymal cystic lesion that was subsequently identified as a neurenteric cyst. This lesion is reviewed in light of the available literature.

Case report:

A 35-year-old female presented with a one year history of progressive headaches and seizure-like episodes. Her examination revealed no deficits. Magnetic resonance imaging showed a 4 cm x 4 cm x 4 cm cystic lesion within the parenchyma of the right frontal lobe. A right frontal craniotomy and complete excision of the cystic lesion was performed. Pathologic examination confirmed that it was a neurenteric cyst. Postoperatively the patient's symptoms improved.

Conclusion:

Review of the literature revealed this to be the first case of a surgically excised, pathologically confirmed supratentorial neurenteric cyst, contained entirely within the brain parenchyma.

Type
Editorial
Information
Canadian Journal of Neurological Sciences , Volume 31 , Issue 3 , August 2004 , pp. 412 - 416
Copyright
Copyright © The Canadian Journal of Neurological 2004

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