• Neurochirurgie · Feb 2009

    Review Case Reports

    [Neurenteric cyst of the posterior fossa. Case report and review of the literature].

    • P Scarone, H Boissonnet, F Heran, F Gray, and G Robert.
    • Service de neurochirurgie, fondation ophtalmologique Adolphe-de-Rothschild, 25-29 rue Manin, 75940 Paris cedex 19, France. pietroscarone@yahoo.it
    • Neurochirurgie. 2009 Feb 1;55(1):45-52.

    AbstractIntracranial neurenteric cysts are rare entities. The term is currently used to describe epithelial cysts that are lined with a presumed endodermal-derived epithelium and are mostly located in the posterior fossa. Preoperative diagnosis is often difficult because of their clinical presentation, which may resemble a subarachnoid hemorrhage, and the radiological aspect, which can mimic vascular pathologies. We describe a posterior fossa neurenteric cyst in a 27-year-old woman, who presented with sudden headache as the only symptom and who was addressed to our hospital for subarachnoid hemorrhage. Diagnostic angiography was negative and MRI revealed a prepontine cystic lesion. The patient underwent a posterolateral approach on the right side, with subtotal resection of the lesion. We discuss the embryologic, diagnostic and therapeutic aspects of these cysts and review the literature.

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