Wagner H J, Seidel A, Reusche E, Sepehrnia A, Kruse K, Sperner J
Department of Pediatrics, University of Lübeck, School of Medicine, Germany.
Neuropediatrics. 1998 Aug;29(4):212-4. doi: 10.1055/s-2007-973563.
An enterogenous cyst of the craniospinal region producing medullary compression is reported in a 4.5-year-old boy. The patient presented with stiffness of the neck and headache, but otherwise without neurological deficits. Magnetic resonance imaging (MRI) demonstrated a high-intensity mass extending from the cerebellomedullary cisterna to the second cervical vertebra flattening the medulla and the upper cervical cord. Complete recovery ensued following total excision of the cyst. Histologically, the cyst was lined by a single layer of PAS-positive columnar epithelium. Presentation of this unusual case is discussed together with a review of the literature.
报告了一名4.5岁男孩,其颅脊区出现肠源性囊肿并导致延髓受压。患者表现为颈部僵硬和头痛,但无其他神经功能缺损。磁共振成像(MRI)显示一个高强度肿块,从脑桥小脑池延伸至第二颈椎,使延髓和上颈髓变平。囊肿完全切除后患者完全康复。组织学检查显示,囊肿内衬单层PAS阳性柱状上皮。本文介绍了这一罕见病例,并对相关文献进行了综述。