Neurenteric cyst

FACTS

  • foregut duplication cyst
  • most commonly in spine but intracranially can be in posterior fossa most commonly
  • presentation

HPI

universal ROS
  • pain
  • myelopathy (spine)
  • cardiorespiratory symptoms (cervicothoracic in neonates/infants)
  • meningitis (fistulous tract0

PHYSICAL EXAM

universal neuro exam
  • meningismus
  • evaluate for skin leisons

IMAGING

CT: low-density
MRI: T1: iso-tense or slightly hyper-intense
A/P
Surgical options:
  • spine: remove the cyst, recurrence is rare if entire wall is removed
  • intracranial: