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Neurenteric Cyst
Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Spinal enterogenous cyst, spinal enteric cyst, spinal dorsal enteric cyst
              • Definitions

                • Intraspinal cyst lined by enteric mucosa

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Ultrasonographic Findings

                        • Nonvascular Interventions

                          • Nuclear Medicine Findings

                            • Imaging Recommendations

                              DIFFERENTIAL DIAGNOSIS

                                PATHOLOGY

                                • General Features

                                  • Staging, Grading, & Classification

                                    • Gross Pathologic & Surgical Features

                                      • Microscopic Features

                                        CLINICAL ISSUES

                                        • Presentation

                                          • Demographics

                                            • Natural History & Prognosis

                                              • Treatment

                                                DIAGNOSTIC CHECKLIST

                                                • Consider

                                                  • Image Interpretation Pearls

                                                    Selected References

                                                    1. Dokumcu Z et al: Two-stage approach in the management of thoracic neuroenteric cyst with spinal extension: thoracoscopic excision following dorsal laminectomy. Childs Nerv Syst. ePub, 2014
                                                    2. Zhang D et al: The neural crest: A versatile organ system. Birth Defects Res C Embryo Today. 102(3):275-98, 2014
                                                    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. Ioannides AS et al: Foregut separation and tracheo-oesophageal malformations: the role of tracheal outgrowth, dorso-ventral patterning and programmed cell death. Dev Biol. 337(2):351-62, 2010
                                                    6. 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
                                                    7. Aydin AL et al: Prenatal diagnosis of a large, cervical, intraspinal, neurenteric cyst and postnatal outcome. J Pediatr Surg. 44(9):1835-8, 2009
                                                    8. 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
                                                    9. 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
                                                    10. Chongyi S et al: Lumbar intradural extramedullary bronchiogenic cyst. Eur Surg Res. 40(1):26-8, 2008
                                                    11. Kimya Y et al: Prenatal diagnosis of the rarely observed split notochord syndrome. Ultrasound Obstet Gynecol. 29(6):712-3, 2007
                                                    12. Schurink M et al: Neurenteric cyst--a case report of this rare disorder. J Pediatr Surg. 42(5):E5-7, 2007
                                                    13. Hishiki T et al: A neonatal case of thoracoabdominal duplication associated with right congenital diaphragmatic hernia, absent inferior vena cava, and congenital portoazygous shunt: etiopathogenesis and surgical management. J Pediatr Surg. 41(11):e21-4, 2006
                                                    14. Tsuchida S et al: Split notochord syndrome: ileal duplication causing intermittent episodes of vomiting. Tohoku J Exp Med. 209(4):379-82, 2006
                                                    15. van Ramshorst GH et al: A case of split notochord syndrome: a child with a neuroenteric fistula presenting with meningitis. J Pediatr Surg. 41(12):e19-23, 2006
                                                    16. Agangi A et al: Split notochord syndrome variant: prenatal findings and neonatal management. Prenat Diagn. 25(1):23-7, 2005
                                                    17. 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
                                                    18. Aydin K et al: Case report: Spinal cord herniation into a mediastinal neurenteric cyst: CT and MRI findings. Br J Radiol. 76(902):132-4, 2003
                                                    19. Agrawal D et al: Intramedullary neurenteric cyst presenting as infantile paraplegia: a case and review. Pediatr Neurosurg. 37(2):93-6, 2002
                                                    20. Graham D et al: Greenfield's Neuropathology. 7th ed. London: Arnold. 968-69, 2002
                                                    21. Kanmaz T et al: The split notochord syndrome with dorsal enteric fistula. Indian J Pediatr. 69(8):729-30, 2002
                                                    22. Kapoor V et al: Neuroradiologic-pathologic correlation in a neurenteric cyst of the clivus. AJNR Am J Neuroradiol. 23(3):476-9, 2002
                                                    23. Ratan SK et al: Unusual presentation of gastric duplication cyst in a neonate with pneumoperitoneum and vertebral anomalies. Am J Perinatol. 19(7):361-6, 2002
                                                    24. Filho FL et al: Neurenteric cyst of the craniocervical junction. Report of three cases. J Neurosurg. 94(1 Suppl):129-32, 2001
                                                    25. Kumar R et al: Intraspinal neurenteric cysts--report of three paediatric cases. Childs Nerv Syst. 17(10):584-8, 2001
                                                    26. Lippman CR et al: Intramedullary neurenteric cysts of the spine. Case report and review of the literature. J Neurosurg. 94(2 Suppl):305-9, 2001
                                                    27. Kadhim H et al: Spinal neurenteric cyst presenting in infancy with chronic fever and acute myelopathy. Neurology. 54(10):2011-5, 2000
                                                    28. 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
                                                    29. Dindar H et al: The split notochord syndrome with dorsal enteric fistula, meningomyelocele and imperforate anus. Turk J Pediatr. 41(1):147-50, 1999
                                                    30. Lee SH et al: Thoracic neurenteric cyst in an adult: case report. Neurosurgery. 45(5):1239-42; disscussion 1242-3, 1999
                                                    31. Ellis AM et al: Intravertebral spinal neurenteric cysts: a unique radiographic sign--"the hole-in-one vertebra". J Pediatr Orthop. 17(6):766-8, 1997
                                                    32. Prasad VS et al: Cervico-thoracic neurenteric cyst: clinicoradiological correlation with embryogenesis. Childs Nerv Syst. 12(1):48-51, 1996
                                                    33. Gao PY et al: Neurenteric cysts: pathology, imaging spectrum, and differential diagnosis. Int J Neuroradiol. 1:17-27, 1995
                                                    34. 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
                                                    35. Kropp J et al: Neurenteric cyst diagnosed by technetium-99m pertechnetate sequential scintigraphy. J Nucl Med. 28(7):1218-20, 1987
                                                    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

                                                                  • Spinal enterogenous cyst, spinal enteric cyst, spinal dorsal enteric cyst
                                                                • Definitions

                                                                  • Intraspinal cyst lined by enteric mucosa

                                                                IMAGING

                                                                • General Features

                                                                  • Radiographic Findings

                                                                    • CT Findings

                                                                      • MR Findings

                                                                        • Ultrasonographic Findings

                                                                          • Nonvascular Interventions

                                                                            • Nuclear Medicine Findings

                                                                              • Imaging Recommendations

                                                                                DIFFERENTIAL DIAGNOSIS

                                                                                  PATHOLOGY

                                                                                  • General Features

                                                                                    • Staging, Grading, & Classification

                                                                                      • Gross Pathologic & Surgical Features

                                                                                        • Microscopic Features

                                                                                          CLINICAL ISSUES

                                                                                          • Presentation

                                                                                            • Demographics

                                                                                              • Natural History & Prognosis

                                                                                                • Treatment

                                                                                                  DIAGNOSTIC CHECKLIST

                                                                                                  • Consider

                                                                                                    • Image Interpretation Pearls

                                                                                                      Selected References

                                                                                                      1. Dokumcu Z et al: Two-stage approach in the management of thoracic neuroenteric cyst with spinal extension: thoracoscopic excision following dorsal laminectomy. Childs Nerv Syst. ePub, 2014
                                                                                                      2. Zhang D et al: The neural crest: A versatile organ system. Birth Defects Res C Embryo Today. 102(3):275-98, 2014
                                                                                                      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. Ioannides AS et al: Foregut separation and tracheo-oesophageal malformations: the role of tracheal outgrowth, dorso-ventral patterning and programmed cell death. Dev Biol. 337(2):351-62, 2010
                                                                                                      6. 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
                                                                                                      7. Aydin AL et al: Prenatal diagnosis of a large, cervical, intraspinal, neurenteric cyst and postnatal outcome. J Pediatr Surg. 44(9):1835-8, 2009
                                                                                                      8. 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
                                                                                                      9. 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
                                                                                                      10. Chongyi S et al: Lumbar intradural extramedullary bronchiogenic cyst. Eur Surg Res. 40(1):26-8, 2008
                                                                                                      11. Kimya Y et al: Prenatal diagnosis of the rarely observed split notochord syndrome. Ultrasound Obstet Gynecol. 29(6):712-3, 2007
                                                                                                      12. Schurink M et al: Neurenteric cyst--a case report of this rare disorder. J Pediatr Surg. 42(5):E5-7, 2007
                                                                                                      13. Hishiki T et al: A neonatal case of thoracoabdominal duplication associated with right congenital diaphragmatic hernia, absent inferior vena cava, and congenital portoazygous shunt: etiopathogenesis and surgical management. J Pediatr Surg. 41(11):e21-4, 2006
                                                                                                      14. Tsuchida S et al: Split notochord syndrome: ileal duplication causing intermittent episodes of vomiting. Tohoku J Exp Med. 209(4):379-82, 2006
                                                                                                      15. van Ramshorst GH et al: A case of split notochord syndrome: a child with a neuroenteric fistula presenting with meningitis. J Pediatr Surg. 41(12):e19-23, 2006
                                                                                                      16. Agangi A et al: Split notochord syndrome variant: prenatal findings and neonatal management. Prenat Diagn. 25(1):23-7, 2005
                                                                                                      17. 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
                                                                                                      18. Aydin K et al: Case report: Spinal cord herniation into a mediastinal neurenteric cyst: CT and MRI findings. Br J Radiol. 76(902):132-4, 2003
                                                                                                      19. Agrawal D et al: Intramedullary neurenteric cyst presenting as infantile paraplegia: a case and review. Pediatr Neurosurg. 37(2):93-6, 2002
                                                                                                      20. Graham D et al: Greenfield's Neuropathology. 7th ed. London: Arnold. 968-69, 2002
                                                                                                      21. Kanmaz T et al: The split notochord syndrome with dorsal enteric fistula. Indian J Pediatr. 69(8):729-30, 2002
                                                                                                      22. Kapoor V et al: Neuroradiologic-pathologic correlation in a neurenteric cyst of the clivus. AJNR Am J Neuroradiol. 23(3):476-9, 2002
                                                                                                      23. Ratan SK et al: Unusual presentation of gastric duplication cyst in a neonate with pneumoperitoneum and vertebral anomalies. Am J Perinatol. 19(7):361-6, 2002
                                                                                                      24. Filho FL et al: Neurenteric cyst of the craniocervical junction. Report of three cases. J Neurosurg. 94(1 Suppl):129-32, 2001
                                                                                                      25. Kumar R et al: Intraspinal neurenteric cysts--report of three paediatric cases. Childs Nerv Syst. 17(10):584-8, 2001
                                                                                                      26. Lippman CR et al: Intramedullary neurenteric cysts of the spine. Case report and review of the literature. J Neurosurg. 94(2 Suppl):305-9, 2001
                                                                                                      27. Kadhim H et al: Spinal neurenteric cyst presenting in infancy with chronic fever and acute myelopathy. Neurology. 54(10):2011-5, 2000
                                                                                                      28. 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
                                                                                                      29. Dindar H et al: The split notochord syndrome with dorsal enteric fistula, meningomyelocele and imperforate anus. Turk J Pediatr. 41(1):147-50, 1999
                                                                                                      30. Lee SH et al: Thoracic neurenteric cyst in an adult: case report. Neurosurgery. 45(5):1239-42; disscussion 1242-3, 1999
                                                                                                      31. Ellis AM et al: Intravertebral spinal neurenteric cysts: a unique radiographic sign--"the hole-in-one vertebra". J Pediatr Orthop. 17(6):766-8, 1997
                                                                                                      32. Prasad VS et al: Cervico-thoracic neurenteric cyst: clinicoradiological correlation with embryogenesis. Childs Nerv Syst. 12(1):48-51, 1996
                                                                                                      33. Gao PY et al: Neurenteric cysts: pathology, imaging spectrum, and differential diagnosis. Int J Neuroradiol. 1:17-27, 1995
                                                                                                      34. 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
                                                                                                      35. Kropp J et al: Neurenteric cyst diagnosed by technetium-99m pertechnetate sequential scintigraphy. J Nucl Med. 28(7):1218-20, 1987