Kim Woo Yup, Lim Jaejoon, Cho Kyung Gi
Department of Neurosurgery, CHA Bundang Medical Center, CHA University College of Medicine, Seongnam, Korea.
Brain Tumor Res Treat. 2021 Oct;9(2):106-110. doi: 10.14791/btrt.2021.9.e22.
Intracranial neurenteric cyst at the anterior craniocervical junction is very rare, and its treatment and prognosis have not been established. We report a case of neurenteric cyst at the anterior craniocervical junction and review the relevant literature. A 16-year-old girl presented with a 2-month history of slowly progressive headache. MRI revealed a well-defined intradural extramedullary cyst in the anterior medulla and brain stem with C1 cord compression. We performed gross total resection of the cyst using a far-lateral transcondylar approach. Surgical resection is the treatment of choice for neurenteric cysts at anterior craniocervical junction, the far-lateral transcondylar approach might be the optimal surgical approach.
颅颈交界区前部的颅内神经肠囊肿非常罕见，其治疗方法和预后尚未明确。我们报告一例颅颈交界区前部的神经肠囊肿病例并复习相关文献。一名16岁女孩有2个月缓慢进展性头痛病史。磁共振成像（MRI）显示延髓前部和脑干内一个边界清晰的硬脊膜内髓外囊肿，伴有C1脊髓受压。我们采用远外侧经髁入路对囊肿进行了全切除。手术切除是颅颈交界区前部神经肠囊肿的首选治疗方法，远外侧经髁入路可能是最佳手术入路。
