Unique Imaging Features of Spinal Neurenteric Cyst.
10.4055/cios.2015.7.4.515
- Author:
Hyoung Seok JUNG
1
;
Sang Min PARK
;
Gang Un KIM
;
Mi Kyung KIM
;
Kwang Sup SONG
Author Information
1. Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea. ksong70@cau.ac.kr
- Publication Type:Case Reports
- Keywords:
Spinal cord;
Neoplasm;
Neuroenteric cyst;
Magnetic resonance imaging
- MeSH:
Diagnosis, Differential;
Humans;
Magnetic Resonance Imaging;
Male;
Middle Aged;
*Neural Tube Defects/diagnosis/physiopathology/surgery;
*Spinal Cord/pathology/surgery;
*Spinal Cord Diseases/diagnosis/physiopathology/surgery
- From:Clinics in Orthopedic Surgery
2015;7(4):515-518
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 50-year-old male presented with acutely progressed paraplegia. His magnetic resonance imaging demonstrated two well-demarcated components with opposite signals in one cystic lesion between the T1- and T2-weighted images at the T1 spine level. The patient showed immediately improved neurological symptoms after surgical intervention and the histopathological exam was compatible with a neurenteric cyst. On operation, two different viscous drainages from the cyst were confirmed. A unique similarity of image findings was found from a review of the pertinent literature. The common findings of spinal neurenteric cyst include an isointense or mildly hyperintense signal relative to cerebrospinal fluid for both T1- and T2-weighted images. However, albeit rarer, the signals of some part of the cyst could change into brightly hyperintensity on T1-weighted images and hypointensity on T2-weighted images due to the differing sedimentation of the more viscous contents in the cyst.
