Intravertebral spinal neurenteric cysts: a unique radiographic sign--"the hole-in-one vertebra".
A well-defined circular defect in the midst of a complex vertebral anomaly, visible on a plain radiograph, is diagnostic of an intravertebral extension of a neurenteric cyst. It may represent a connecting stalk between a mediastinal cyst and an intraspinal lesion. The "hole-in-one" vertebra is an indication for a magnetic resonance imaging (MRI) scan. When surgical excision of a mediastinal cyst is undertaken, the intravertebral tract should be curetted to avoid recurrence.
Ellis
A M
AM
The University of Sydney, NSW, Australia.
Taylor
T K
TK
D002648:Child; D006801:Humans; D007231:Infant, Newborn; D007796:Laminectomy; D008297:Male; D011859:Radiography; D016136:Spina Bifida Occulta / Q000000981:diagnostic imaging* / Q000601:surgery; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging* / Q000601:surgery; D013908:Thoracotomy