Prenatal diagnosis of a large, cervical, intraspinal, neurenteric cyst and postnatal outcome.
Neurenteric cysts are rare congenital anomalies derived from the notochord and located in front of the spinal column, mostly at the cervical level. They consist of an intraspinal cystic component that is connected to a mediastinal or thoracic cyst. A case of a cervical, intraspinal, neurenteric cyst, diagnosed at 28 weeks of gestation and operated on at 3 and half months after birth, is reported. Herein, we discuss important features of this case including its rare occurrence, intrauterine diagnosis, and early surgical intervention. In conclusion, the nature of prenatal intradural cysts should be fully evaluated and differentiated between neurenteric cyst and other types of cysts with fetal ultrasonography. Therefore, it is essential to be aware of this potential cyst in fetal ultrasonography in utero. Neurenteric cyst should be considered in the differential diagnosis of cervical intradural cystic lesions. In infants, successful surgery provides a cure in patients with cervical neurenteric cysts.
Aydin
Ahmet Levent
AL
Neurosurgery Department, Istanbul Physical Therapy and Rehabilitation Training Hospital, 34180 Istanbul, Turkey.
Sasani
Mehdi
M
Ucar
Bahattin
B
Afsharian
Ruya
R
Ozer
Ali Fahir
AF
D002574:Cervical Vertebrae / Q000002:abnormalities*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D009436:Neural Tube Defects / Q000175:diagnosis* / Q000601:surgery*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011296:Prenatal Diagnosis; D016216:Ultrasonography, Prenatal