Cisto enterógeno intrarraquiano: relato de caso

Hamamoto, Osmi; Guerreiro, Nilton E.; Nakano, Hiroshi; Minconi, Aldeliza; Tonholo-Silva, Edward R.

doi:10.1590/S0004-282X1997000200023

Resumos

Os autores relatam o caso de um paciente de 7 anos de idade, com quadro de dor cervical e tetraparesia progressiva há 2 meses, que apresentava lesão cística intrarraquiana de C4 a C6. Foi submetido a exerese da lesão por via anterior, através de corporectomia de C5-C6 e reconstrução com enxerto de crista ilíaca e placa metálica. O diagnóstico anátomo-patológico da lesão foi de cisto enterógeno. Aspectos relacionados a apresentação clínica, embriologiae tratamento dessa lesão são discutidos.

cisto enterógeno; cisto neurentérico; tumores medulares; síndrome da notocorda fendida

The authors report the case of a 7 years old boy with cervical pain and tetraparesis progressing by two months. He presented an intraspinal cystic lesion from C4 to C6. Exeresis of the lesion was undergone by anterior way through a corpectomy of C5-C6 followed by reconstruction with bone graft of the iliac crest and metallic plaque. Anatomic diagnosis of the lesion was enterogenous cyst. Aspects of clinical presentation, embryology and treatment of these cysts are discussed.

enterogenous cyst; neurenteric cyst; spinal cord tumors; split notocord syndrome

Osmi Hamamoto^I; Nilton E. Guerreiro^I; Hiroshi Nakano^I; Aldeliza Minconi^II; Edward R. Tonholo-Silva^II

^IFaculdade de Medicina de Marília (FAMEMA): Departamento de Cirurgia, Disciplina de Neurocirurgia

^IIFaculdade de Medicina de Marília (FAMEMA): Departamento de Pediatria, Disciplina de Neurologia Infantil

RESUMO

Os autores relatam o caso de um paciente de 7 anos de idade, com quadro de dor cervical e tetraparesia progressiva há 2 meses, que apresentava lesão cística intrarraquiana de C4 a C6. Foi submetido a exerese da lesão por via anterior, através de corporectomia de C5-C6 e reconstrução com enxerto de crista ilíaca e placa metálica. O diagnóstico anátomo-patológico da lesão foi de cisto enterógeno. Aspectos relacionados a apresentação clínica, embriologiae tratamento dessa lesão são discutidos.

Palavras-chave: cisto enterógeno, cisto neurentérico, tumores medulares, síndrome da notocorda fendida.

ABSTRACT

The authors report the case of a 7 years old boy with cervical pain and tetraparesis progressing by two months. He presented an intraspinal cystic lesion from C4 to C6. Exeresis of the lesion was undergone by anterior way through a corpectomy of C5-C6 followed by reconstruction with bone graft of the iliac crest and metallic plaque. Anatomic diagnosis of the lesion was enterogenous cyst. Aspects of clinical presentation, embryology and treatment of these cysts are discussed.

Key words: enterogenous cyst, neurenteric cyst, spinal cord tumors, split notocord syndrome.

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AGRADECIMENTOS

Prof. Massayoshi Tan e Sr. Carlos Fernandes dos Santos na elaboração dos desenhos.

Aceite: 10-dezembro-1996.

Estudo realizado na Faculdade de Medicina de Marília (FAMEMA).

Dr. Osmi Hamamoto - Rua 21 de Abril 263 - 17515-220 Marília SP - Brasil.

1. Agnoli LA, Laun A, Schönmayr R. Enterogenous intraspinal cysts. J Neurosurg 1984;61:834-840.
2. Aoki A, Machida T, Sasaki Y, Yoshikawa K, Lio M, Sasaki T_T Takakura K. Enterogenous cyst of cervical spine: clinical and radiologicalaspects (including CT and MRI). Neuroradiology 1987;29:291-293.
3. Arai Y, Yamauchi Y, Tsuji T, Fukasaku S, Yokota R, Kudo T. Spinal neurenteric cyst: report of two cases and review of forty-one cases reported in Japan. Spine 1992; 17:1421 -1424.
4. Brookas BS, Duvall ER, EL Gammal T, Garcia JH, Gupta KL, Kapila A. Neuroimaging features of neurenteric cysts: analysis of nine cases and review of the literature. AJNR 1993;14:735-746.
5. Esposito S, Nardi PV, Patricolo M, Volpini V, Patricolo A. Enterogenous cyst of the spinal cord terminal cone: clinical and radiological aspects (CT and MRI). J Neurosurg Sci 1989;33:287-289.
6. Fernandes ET, Custer MD, Burton EM, Boulden TF, Wrenn EL, Whittle AP, Edwards OP. Neurenteric cyst: surgery and diagnostic imaging. J Pediatr Surg 1991 ;26:108-110.
7. Garcia JM, Costa ACT, Fonseca ALV, Hahn MD. Cisto enterógeno: relato de caso. Arq Bras Neurocirurg 1989;5:53-57.
8. Harris CP, Dias MS, Brockmeyer DL, Townsend JJ, Willis BK, Apfelbaum RI. Neurenteric cysts of the posterior fossa: recognition, management, and embryogenesis. Neurosurgery 1991 ;29:893-898.
9. Holmes GL, Trader S, Ignatiadis P. Intraspinal enterogenous cysts: a case report and review of pediatric cases in the literature. Am J Dis Child 1978;132:906-908.
10. Kak VK, Gupta RK, Sharma BS. Banerjee AK. Craniospinal enterogenous cyst: MR findings. J Comput Assist Tomogr 1990:14:470-472.
11. Klump TE. Neurenteric cyst in the cervical spinal canal of a 10-week-old boy: case report. J Neurosurg 1971:35:472-476.
12. Languepin J, Daoud P. Desguerre I. Kyste neurentérique cervical: une cause rare de malaise néonatal. Arch Pédiatr 1994;1:54-56.
13. Lea ME, Sage MR, Bills D, Brophy B, Blumbergs P. Enterogenous cyst of the cervical spinal canal. Australas Radiol 1992;36:327-329.
14. Marchiori PE. Callcgaro D, Zambon AA, Scaff M, Almeida GM, Assis JL. Cisto neuroentérico: registro de um caso. Arq Neuropsiquiatr 1981:39:478-481.
15. Menezes AH, Ryken TC. Craniocervical intradural neurenteric cysts. Pediatr Neurosurg 1995,22:88-95.
16. Millis RR, Holmes AE. Enterogenous cyst of the spinal cord with associated intestinal reduplication, vertebral anomalies, and dorsal dermal sinus: case report. J Neurosurg 1973;38:73-77.
17. Miyagi K. Mukawa J, Mekabu S, Ishikawa Y, Kinjo T, Nakasone S. Enterogenous cyst in the cervical spinal canal: case report. J Neurosurg 1988,68:292-296.
18. Mooncy JF. Hall JE, Emans JB, Millis MB, Kasser JR. Spinal deformity associated with neurenteric cyst in children. Spine 1994;19:1445-1450.
19. Moore KL, Persaud TVN. O sistema nervoso, In Moore KL, Persuad TVN (eds): embriologia clínica. Rio de Janeiro: Guanabara Koogan, 1994,357-388.
20. Odake G, Yamaki T, Narusc S. Neurenteric cyst with meningomyelocele: case report. J Neurosurg 1976;45:352-356.
21. Silvernail WI, Brown RB. Intramedullary enterogenous cyst: case report. J Neurosurg 1972;36:235-238.
22. Veeneklass GMH. Pathogenesis of intrathoracic gastrogenic cysts. Am J Dis Child 1952;83:500-507.
23. Woo PYC, SharrMM. Childhood cervical enterogenous cyst presenting with hemiparesis. Postgrad Med 1982;58:424-426.

Cisto enterógeno intrarraquiano: relato de caso

Intraspinal enterogenous cyst: case report

Datas de Publicação

Publicação nesta coleção
10 Nov 2010
Data do Fascículo
Jun 1997

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Agnoli LA, Laun A, Schönmayr R. Enterogenous intraspinal cysts. J Neurosurg 1984;61:834-840.

[2] 2. Aoki A, Machida T, Sasaki Y, Yoshikawa K, Lio M, Sasaki T_T Takakura K. Enterogenous cyst of cervical spine: clinical and radiologicalaspects (including CT and MRI). Neuroradiology 1987;29:291-293.

[3] 3. Arai Y, Yamauchi Y, Tsuji T, Fukasaku S, Yokota R, Kudo T. Spinal neurenteric cyst: report of two cases and review of forty-one cases reported in Japan. Spine 1992; 17:1421 -1424.

[4] 4. Brookas BS, Duvall ER, EL Gammal T, Garcia JH, Gupta KL, Kapila A. Neuroimaging features of neurenteric cysts: analysis of nine cases and review of the literature. AJNR 1993;14:735-746.

[5] 5. Esposito S, Nardi PV, Patricolo M, Volpini V, Patricolo A. Enterogenous cyst of the spinal cord terminal cone: clinical and radiological aspects (CT and MRI). J Neurosurg Sci 1989;33:287-289.

[6] 6. Fernandes ET, Custer MD, Burton EM, Boulden TF, Wrenn EL, Whittle AP, Edwards OP. Neurenteric cyst: surgery and diagnostic imaging. J Pediatr Surg 1991 ;26:108-110.

[7] 7. Garcia JM, Costa ACT, Fonseca ALV, Hahn MD. Cisto enterógeno: relato de caso. Arq Bras Neurocirurg 1989;5:53-57.

[8] 8. Harris CP, Dias MS, Brockmeyer DL, Townsend JJ, Willis BK, Apfelbaum RI. Neurenteric cysts of the posterior fossa: recognition, management, and embryogenesis. Neurosurgery 1991 ;29:893-898.

[9] 9. Holmes GL, Trader S, Ignatiadis P. Intraspinal enterogenous cysts: a case report and review of pediatric cases in the literature. Am J Dis Child 1978;132:906-908.

[10] 10. Kak VK, Gupta RK, Sharma BS. Banerjee AK. Craniospinal enterogenous cyst: MR findings. J Comput Assist Tomogr 1990:14:470-472.

[11] 11. Klump TE. Neurenteric cyst in the cervical spinal canal of a 10-week-old boy: case report. J Neurosurg 1971:35:472-476.

[12] 12. Languepin J, Daoud P. Desguerre I. Kyste neurentérique cervical: une cause rare de malaise néonatal. Arch Pédiatr 1994;1:54-56.

[13] 13. Lea ME, Sage MR, Bills D, Brophy B, Blumbergs P. Enterogenous cyst of the cervical spinal canal. Australas Radiol 1992;36:327-329.

[14] 14. Marchiori PE. Callcgaro D, Zambon AA, Scaff M, Almeida GM, Assis JL. Cisto neuroentérico: registro de um caso. Arq Neuropsiquiatr 1981:39:478-481.

[15] 15. Menezes AH, Ryken TC. Craniocervical intradural neurenteric cysts. Pediatr Neurosurg 1995,22:88-95.

[16] 16. Millis RR, Holmes AE. Enterogenous cyst of the spinal cord with associated intestinal reduplication, vertebral anomalies, and dorsal dermal sinus: case report. J Neurosurg 1973;38:73-77.

[17] 17. Miyagi K. Mukawa J, Mekabu S, Ishikawa Y, Kinjo T, Nakasone S. Enterogenous cyst in the cervical spinal canal: case report. J Neurosurg 1988,68:292-296.

[18] 18. Mooncy JF. Hall JE, Emans JB, Millis MB, Kasser JR. Spinal deformity associated with neurenteric cyst in children. Spine 1994;19:1445-1450.

[19] 19. Moore KL, Persaud TVN. O sistema nervoso, In Moore KL, Persuad TVN (eds): embriologia clínica. Rio de Janeiro: Guanabara Koogan, 1994,357-388.

[20] 20. Odake G, Yamaki T, Narusc S. Neurenteric cyst with meningomyelocele: case report. J Neurosurg 1976;45:352-356.

[21] 21. Silvernail WI, Brown RB. Intramedullary enterogenous cyst: case report. J Neurosurg 1972;36:235-238.

[22] 22. Veeneklass GMH. Pathogenesis of intrathoracic gastrogenic cysts. Am J Dis Child 1952;83:500-507.

[23] 23. Woo PYC, SharrMM. Childhood cervical enterogenous cyst presenting with hemiparesis. Postgrad Med 1982;58:424-426.