title: Intramedullary spinal neurenteric cyst with fluid-fluid level.
abstract: Spinal neurenteric cysts are rare intradural extramedullary lesions of the spine, commonly located in the cervical and thoracic regions. The majority localize ventral to the spinal cord and are associated with other vertebral anomalies. Here, the authors report a rare case of a 3-year-old boy presenting with a 1-week history of meningismus followed by rapid-onset (over a few hours) paraplegia. Magnetic resonance imaging revealed an intramedullary cystic lesion with a fluid-fluid level in the cervicothoracic region of the spinal cord without associated bony or soft tissue abnormalities. To the best of the authors' knowledge, such clinical and radiological presentation of a spinal neurenteric cyst has never been reported. A brief review of the pertinent literature is presented, and the possible pathophysiology of such a presentation is also discussed.
authors.affiliation: Department of Neurosurgery, King Edward Memorial Hospital, Seth G.S. Medical College, Acharya Donde Marg, Parel, Mumbai, India.
authors.forename: Sukhdeep Singh
authors.initials: SS
authors.lastname: Jhawar
authors.forename: Amit
authors.initials: A
authors.lastname: Mahore
authors.forename: Atul
authors.initials: A
authors.lastname: Goel
mesh_terms: D002675:Child, Preschool; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009436:Neural Tube Defects / Q000473:pathology / Q000601:surgery*; D009460:Neurologic Examination; D010264:Paraplegia / Q000209:etiology; D013116:Spinal Cord / Q000473:pathology / Q000601:surgery; D013118:Spinal Cord Diseases / Q000473:pathology / Q000601:surgery*; D013131:Spine / Q000473:pathology