Midha R, Gray B, Becker L, Drake J
Department of Surgery (Neurosurgery), Hospital for Sick Children, University of Toronto, Ontario, Canada.
Can J Neurol Sci. 1995 May;22(2):168-71. doi: 10.1017/s0317167100040269.
Neurenteric cysts are rare spinal lesions of congenital origin. They usually present insidiously with a long history of local spinal pain, radiculopathy and myelopathy. We report a 14-year-old male with a high cervical neurenteric cyst who developed a progressive myelopathy after minor neck trauma. Full recovery followed a partial cyst excision and decompressive procedure.
The possible pathogenic mechanisms for this unusual presentation include hemorrhage into the cyst, sudden mechanical compression from abnormal spinal movement of a chronically distorted and compressed spinal cord, or an increase in the size of the cyst secondary to accumulation of cyst fluid. In this case a small increase in the cyst size may have resulted in increased mechanical distortion and spinal cord dysfunction on a compressive and ischemic basis.
神经肠囊肿是一种罕见的先天性脊柱病变。它们通常隐匿起病，有长期的局部脊柱疼痛、神经根病和脊髓病病史。我们报告一名14岁男性，患有高位颈段神经肠囊肿，在轻微颈部外伤后出现进行性脊髓病。囊肿部分切除及减压手术后完全康复。
这种不寻常表现的可能致病机制包括囊肿内出血、慢性扭曲和受压脊髓异常脊柱运动导致的突然机械性压迫，或囊肿液积聚继发囊肿大小增加。在本病例中，囊肿大小的轻微增加可能在压迫和缺血的基础上导致机械性扭曲增加和脊髓功能障碍。
