title: Giant supratentorial neurenteric cyst.
abstract: Intracranial neurenteric cysts are rare congenital lesions that may be mistaken for other cystic neoplastic and nonneoplastic lesions. A 35 years old right handed man presented with a one year history of progressive left hemiparesis, headache, personality changes and seizures. Clinical examination revealed a confused patient with left hemiparesis (power 4/5 in both left upper and lower limbs), upper motor neuron type signs in left half of the body (up going plantar reflex and exaggerated deep tendon reflexes at 3+), left facial weakness of upper motor neuron type. CT scan head with contrast revealed a non-enhancing spherical cystic lesion in the frontotemporoparietal region with minimal to moderate mass effect. The cyst was removed using a combination of hydrodissection and excision. Recovery was complete with no evidence of recurrence or residual disease at 3 months.
authors.affiliation: Department of Neurosurgery, Combined Military Hospital, Peshawar.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Junaid
authors.affiliation: Department of Radiology, Fauji Foundation Hospital, Rawalpindi, Pakistan.
authors.forename: Anisa
authors.initials: A
authors.lastname: Kalsoom
authors.affiliation: Public Health Expert, German International Cooperation (GIZ), Pakistan.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Khalid
authors.affiliation: Khyber Teaching Hospital, Peshawar.
authors.forename: Syed Sarmad
authors.initials: SS
authors.lastname: Bukhari
mesh_terms: D000328:Adult; D001921:Brain / Q000473:pathology*; D003399:Craniotomy; D006261:Headache / Q000209:etiology; D006429:Hemiplegia / Q000209:etiology / Q000473:pathology*; D006801:Humans; D008297:Male; D009436:Neural Tube Defects / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D010296:Parietal Lobe / Q000473:pathology / Q000601:surgery*; D012640:Seizures / Q000209:etiology; D015173:Supratentorial Neoplasms / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome