Golden Nyoman, Awyono Steven, Lauren Christopher, Prakoso Dicky T
Neurosurgery Division, Department of Surgery, Faculty of Medicine, Udayana University, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia.
J Surg Case Rep. 2025 Jan 15;2025(1):rjae840. doi: 10.1093/jscr/rjae840. eCollection 2025 Jan.
Neurenteric cysts, rare benign tumors, are most often found in the cervical or thoracic spinal cord, with intracranial occurrences being extremely uncommon. This case report describes a 52-year-old female with a neurenteric cyst in the cerebellopontine angle, presenting with headaches and balance disturbances. Magnetic resonance imaging (MRI) revealed a cystic lesion causing hydrocephalus, and surgical removal was performed using a retrosigmoid approach. Histopathological analysis confirmed the cyst as Type A neurenteric, characterized by ciliated columnar epithelium and goblet cells. Postoperatively, the patient showed significant improvement with resolved symptoms. Neurenteric cysts can mimic other cystic lesions radiologically, complicating diagnosis. Management typically involves surgical excision, although complete removal is often challenging due to cyst adherence to nearby structures. Recurrence rates remain high, necessitating long-term follow-up. This case highlights the importance of differential diagnosis and careful surgical planning in managing neurenteric cysts to optimize patient outcomes.
神经肠囊肿是一种罕见的良性肿瘤，最常发生于颈段或胸段脊髓，颅内发生极为罕见。本病例报告描述了一名52岁女性，其小脑脑桥角有一个神经肠囊肿，表现为头痛和平衡障碍。磁共振成像（MRI）显示一个导致脑积水的囊性病变，并采用乙状窦后入路进行了手术切除。组织病理学分析证实该囊肿为A型神经肠囊肿，其特征为纤毛柱状上皮和杯状细胞。术后，患者症状明显改善。神经肠囊肿在影像学上可模仿其他囊性病变，使诊断复杂化。治疗通常包括手术切除，尽管由于囊肿与附近结构粘连，完全切除往往具有挑战性。复发率仍然很高，需要长期随访。本病例强调了在处理神经肠囊肿时进行鉴别诊断和精心手术规划以优化患者预后的重要性。
