Mobile spinal enterogenous cyst resulting in intermittent paraplegia in a child: case report.
The authors report the case of a mobile spinal enterogenous cyst in a 2-year-old boy, who was admitted to the hospital several times for intermittent paraplegia. Magnetic resonance imaging and CT revealed an isolated cyst in the lumbar spinal canal. The symptoms were caused by transient myelopathy of the conus medullaris and radiculopathy of the cauda equina due to the changing size and location of the cyst. The cyst was surgically extirpated, after which the symptoms resolved. The histopathological diagnosis was enterogenous cyst. The clinical history of intraspinal enterogenous cyst is usually progressive. Mobility and changes in size are rare pathophysiological findings. The authors speculate that the cyst wall did not adhere to the surrounding structures and had ruptured and quickly reformed. Enterogenous cyst should be considered in the differential diagnosis of spinal intradural cysts in children with radiculomyelopathy.
Division of Pediatrics, Department of Medicine, Niigata Prefectural Central Hospital, Joetsu City.
Satoko
S
Kojima
Department of Neurosurgery, Brain Research Institute, University of Niigata, Niigata City; and.
Junichi
J
Yoshimura
Department of Neurosurgery, Brain Research Institute, University of Niigata, Niigata City; and.|Department of Neurosurgery, Niigata Prefectural Central Hospital, Joetsu City, Niigata, Japan.
Tetsuro
T
Takao
Department of Neurosurgery, Niigata Prefectural Central Hospital, Joetsu City, Niigata, Japan.
Tetsuro
T
Tamura
Department of Neurosurgery, Brain Research Institute, University of Niigata, Niigata City; and.
Kenichi
K
Nishiyama
Division of Pediatrics, Department of Medicine, Niigata Prefectural Central Hospital, Joetsu City.
Shigeru
S
Maruyama
Division of Pediatrics, Department of Medicine, Niigata Prefectural Central Hospital, Joetsu City.
Masashi
M
Suda
Department of Neurosurgery, Brain Research Institute, University of Niigata, Niigata City; and.
Yukihiko
Y
Fujii
D002420:Cauda Equina / Q000000981:diagnostic imaging; D002675:Child, Preschool; D003560:Cysts / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D008159:Lumbar Vertebrae / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D010264:Paraplegia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D010523:Peripheral Nervous System Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D013115:Spinal Canal / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D013118:Spinal Cord Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*
CSF = cerebrospinal fluid; childhood; enterogenous cyst; mobility; neuroenteric cyst; spinal intradural cyst; spine