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Neurenteric Cyst
Usha D. Nagaraj, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Neurenteric cyst (NC), enteric cyst, enterogenous cyst, endodermal cyst
            • Definitions

              • Cyst along neuraxis lined with mucin-secreting cuboidal or columnar epithelium resembling alimentary tract
                • Derived from displaced endodermal tissue
                • Classified as complex closed spinal dysraphism without subcutaneous mass

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Ultrasonographic Findings

                      • Nuclear Medicine Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Staging, Grading, & Classification

                                • Gross Pathologic & Surgical Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Kitamura Y et al: Supratentorial neurenteric cyst with spontaneous repetitive intracystic hemorrhage mimicking brain abscess: a case report. Neurosurg Rev. 37(1):153-9, 2014
                                              2. Al-Ahmed IH et al: Neurosurgical management of neurenteric cysts in children. J Neurosurg Pediatr. 11(5):511-7, 2013
                                              3. Gauden AJ et al: Intracranial neuroenteric cysts: a concise review including an illustrative patient. J Clin Neurosci. 19(3):352-9, 2012
                                              4. Jhawar SS et al: Intramedullary spinal neurenteric cyst with fluid-fluid level. J Neurosurg Pediatr. 9(5):542-5, 2012
                                              5. Theret E et al: Huge intramedullar neurenteric cyst with intrathoracic development in a 1 month-old boy: excision though the anterior approach. A case report and review of the literature. Acta Neurochir (Wien). 152(3):481-3, 2010
                                              6. Aydin AL et al: Prenatal diagnosis of a large, cervical, intraspinal, neurenteric cyst and postnatal outcome. J Pediatr Surg. 44(9):1835-8, 2009
                                              7. Surash S et al: Malignant transformation of a neurenteric cyst in the posterior fossa following complete excision. Br J Neurosurg. 23(4):458-61, 2009
                                              8. Asagiri K et al: A case of split notochord syndrome with congenital ileal atresia, the total absence of a colon, and a dorsal enteric cyst communicating to the retroperitoneal isolated ceca with a vesical fistula. Pediatr Surg Int. 24(9):1073-7, 2008
                                              9. Kimya Y et al: Prenatal diagnosis of the rarely observed split notochord syndrome. Ultrasound Obstet Gynecol. 29(6):712-3, 2007
                                              10. Tortori-Donati P et al. Pediatric Neuroradiology. Berlin: Springer-Verla. 587, 2005
                                              11. Wakisaka M et al: Giant transdiaphragmatic duodenal duplication with an intraspinal neurenteric cyst as part of the split notochord syndrome: report of a case. Surg Today. 34(5):459-62, 2004
                                              12. Kapoor V et al: Neuroradiologic-pathologic correlation in a neurenteric cyst of the clivus. AJNR Am J Neuroradiol. 23(3):476-9, 2002
                                              13. Kumar R et al: Intraspinal neurenteric cysts--report of three paediatric cases. Childs Nerv Syst. 17(10):584-8, 2001
                                              14. Paleologos TS et al: Spinal neurenteric cysts without associated malformations. Are they the same as those presenting in spinal dysraphism? Br J Neurosurg. 14(3):185-94, 2000
                                              15. Barkovich AJ et al. Pediatric Neuroimaging. 5th e. Philadelphia: Lippincott Williams & Wilkins. 681-3, 2012
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Pathology

                                                      • Clinical Issues

                                                        TERMINOLOGY

                                                        • Synonyms

                                                          • Neurenteric cyst (NC), enteric cyst, enterogenous cyst, endodermal cyst
                                                        • Definitions

                                                          • Cyst along neuraxis lined with mucin-secreting cuboidal or columnar epithelium resembling alimentary tract
                                                            • Derived from displaced endodermal tissue
                                                            • Classified as complex closed spinal dysraphism without subcutaneous mass

                                                        IMAGING

                                                        • General Features

                                                          • Radiographic Findings

                                                            • CT Findings

                                                              • MR Findings

                                                                • Ultrasonographic Findings

                                                                  • Nuclear Medicine Findings

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Staging, Grading, & Classification

                                                                            • Gross Pathologic & Surgical Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Kitamura Y et al: Supratentorial neurenteric cyst with spontaneous repetitive intracystic hemorrhage mimicking brain abscess: a case report. Neurosurg Rev. 37(1):153-9, 2014
                                                                                          2. Al-Ahmed IH et al: Neurosurgical management of neurenteric cysts in children. J Neurosurg Pediatr. 11(5):511-7, 2013
                                                                                          3. Gauden AJ et al: Intracranial neuroenteric cysts: a concise review including an illustrative patient. J Clin Neurosci. 19(3):352-9, 2012
                                                                                          4. Jhawar SS et al: Intramedullary spinal neurenteric cyst with fluid-fluid level. J Neurosurg Pediatr. 9(5):542-5, 2012
                                                                                          5. Theret E et al: Huge intramedullar neurenteric cyst with intrathoracic development in a 1 month-old boy: excision though the anterior approach. A case report and review of the literature. Acta Neurochir (Wien). 152(3):481-3, 2010
                                                                                          6. Aydin AL et al: Prenatal diagnosis of a large, cervical, intraspinal, neurenteric cyst and postnatal outcome. J Pediatr Surg. 44(9):1835-8, 2009
                                                                                          7. Surash S et al: Malignant transformation of a neurenteric cyst in the posterior fossa following complete excision. Br J Neurosurg. 23(4):458-61, 2009
                                                                                          8. Asagiri K et al: A case of split notochord syndrome with congenital ileal atresia, the total absence of a colon, and a dorsal enteric cyst communicating to the retroperitoneal isolated ceca with a vesical fistula. Pediatr Surg Int. 24(9):1073-7, 2008
                                                                                          9. Kimya Y et al: Prenatal diagnosis of the rarely observed split notochord syndrome. Ultrasound Obstet Gynecol. 29(6):712-3, 2007
                                                                                          10. Tortori-Donati P et al. Pediatric Neuroradiology. Berlin: Springer-Verla. 587, 2005
                                                                                          11. Wakisaka M et al: Giant transdiaphragmatic duodenal duplication with an intraspinal neurenteric cyst as part of the split notochord syndrome: report of a case. Surg Today. 34(5):459-62, 2004
                                                                                          12. Kapoor V et al: Neuroradiologic-pathologic correlation in a neurenteric cyst of the clivus. AJNR Am J Neuroradiol. 23(3):476-9, 2002
                                                                                          13. Kumar R et al: Intraspinal neurenteric cysts--report of three paediatric cases. Childs Nerv Syst. 17(10):584-8, 2001
                                                                                          14. Paleologos TS et al: Spinal neurenteric cysts without associated malformations. Are they the same as those presenting in spinal dysraphism? Br J Neurosurg. 14(3):185-94, 2000
                                                                                          15. Barkovich AJ et al. Pediatric Neuroimaging. 5th e. Philadelphia: Lippincott Williams & Wilkins. 681-3, 2012