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Year : 2018  |  Volume : 15  |  Issue : 4  |  Page : 186-189

Enterogenous cyst from craniovertebral junction to D2 – Rare presentation

Department of Neurosurgery, Government Kilpauk Medical College, Chennai, Tamil Nadu, India

Correspondence Address:
Kodeeswaran Marappan
#3, Nanda Nikethan, 10, Valliammal Street, Kilpauk, Chennai - 600 010, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/am.am_63_18

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The neurenteric cyst is a rare lesion of the spinal axis. It is composed of heterotopic endodermal tissue. During the 3rd week of human embryogenesis, the neurenteric canal unites the yolk sac and the amniotic cavity as it traverses the primitive notochordal plate. Persistence of the normally transient neurenteric canal prevents the appropriate separation of endoderm and notochord. This anomalous union manifested as congenital abnormalities of the spine. It is defined by the presence of mucus-secreting epithelium reminiscent of the gastrointestinal tract. It is presented with pain and myelopathic symptoms. Septic or chemical meningitis can also occur. A variety of approaches are described in the treatment of neuroenteric cysts each with a goal of total surgical resection.

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