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Neurenteric Cyst
Usha D. Nagaraj, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • 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. Barkovich AJ et al: Pediatric Neuroimaging. 5th ed. Philadelphia: Lippincott Williams & Wilkins. 681-3, 2012
                                                4. Gauden AJ et al: Intracranial neuroenteric cysts: a concise review including an illustrative patient. J Clin Neurosci. 19(3):352-9, 2012
                                                5. Jhawar SS et al: Intramedullary spinal neurenteric cyst with fluid-fluid level. J Neurosurg Pediatr. 9(5):542-5, 2012
                                                6. Savage JJ et al: Neurenteric cysts of the spine. J Craniovertebr Junction Spine. 1(1):58-63, 2010
                                                7. 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
                                                8. Aydin AL et al: Prenatal diagnosis of a large, cervical, intraspinal, neurenteric cyst and postnatal outcome. J Pediatr Surg. 44(9):1835-8, 2009
                                                9. 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
                                                10. 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
                                                11. Kimya Y et al: Prenatal diagnosis of the rarely observed split notochord syndrome. Ultrasound Obstet Gynecol. 29(6):712-3, 2007
                                                12. Preece MT et al: Intracranial neurenteric cysts: imaging and pathology spectrum. AJNR Am J Neuroradiol. 27(6):1211-6, 2006
                                                13. Tortori-Donati P et al: Pediatric Neuroradiology. Berlin: Springer-Verla. 587, 2005
                                                14. 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
                                                15. Kapoor V et al: Neuroradiologic-pathologic correlation in a neurenteric cyst of the clivus. AJNR Am J Neuroradiol. 23(3):476-9, 2002
                                                16. Kumar R et al: Intraspinal neurenteric cysts--report of three paediatric cases. Childs Nerv Syst. 17(10):584-8, 2001
                                                17. 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
                                                18. Brooks BS et al: Neuroimaging features of neurenteric cysts: analysis of nine cases and review of the literature. AJNR Am J Neuroradiol. 14(3):735-46, 1993
                                                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

                                                          • Diagnostic Checklist

                                                            TERMINOLOGY

                                                            • Synonyms

                                                              • 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. Barkovich AJ et al: Pediatric Neuroimaging. 5th ed. Philadelphia: Lippincott Williams & Wilkins. 681-3, 2012
                                                                                              4. Gauden AJ et al: Intracranial neuroenteric cysts: a concise review including an illustrative patient. J Clin Neurosci. 19(3):352-9, 2012
                                                                                              5. Jhawar SS et al: Intramedullary spinal neurenteric cyst with fluid-fluid level. J Neurosurg Pediatr. 9(5):542-5, 2012
                                                                                              6. Savage JJ et al: Neurenteric cysts of the spine. J Craniovertebr Junction Spine. 1(1):58-63, 2010
                                                                                              7. 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
                                                                                              8. Aydin AL et al: Prenatal diagnosis of a large, cervical, intraspinal, neurenteric cyst and postnatal outcome. J Pediatr Surg. 44(9):1835-8, 2009
                                                                                              9. 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
                                                                                              10. 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
                                                                                              11. Kimya Y et al: Prenatal diagnosis of the rarely observed split notochord syndrome. Ultrasound Obstet Gynecol. 29(6):712-3, 2007
                                                                                              12. Preece MT et al: Intracranial neurenteric cysts: imaging and pathology spectrum. AJNR Am J Neuroradiol. 27(6):1211-6, 2006
                                                                                              13. Tortori-Donati P et al: Pediatric Neuroradiology. Berlin: Springer-Verla. 587, 2005
                                                                                              14. 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
                                                                                              15. Kapoor V et al: Neuroradiologic-pathologic correlation in a neurenteric cyst of the clivus. AJNR Am J Neuroradiol. 23(3):476-9, 2002
                                                                                              16. Kumar R et al: Intraspinal neurenteric cysts--report of three paediatric cases. Childs Nerv Syst. 17(10):584-8, 2001
                                                                                              17. 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
                                                                                              18. Brooks BS et al: Neuroimaging features of neurenteric cysts: analysis of nine cases and review of the literature. AJNR Am J Neuroradiol. 14(3):735-46, 1993