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Cent Eur Neurosurg 2008; 69(1): 51-53
DOI: 10.1055/s-2007-992139
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

High Cervical Neurenteric Cyst; Acute Post-traumatic Rupture and Respiratory Failure: A Case Report

Hoch zervikale neurenterische Zyste mit akuter posttraumatischer Ruptur und Tetraplegie: ein FallberichtG. d'Andrea 1 , C. Mencarani 1 , V. Necci 1 , D. di Stefano 2 , G. Occhiogrosso 3 , A. Frati 4
  • 1Department of Neurosurgery, University of Rome, S Andrea Hospital, Rome, Italy
  • 2Department of Histology, University of Rome, S Andrea Hospital, Rome, Italy
  • 3Department of Neurosurgery, University of Bari, Bari, Italy
  • 4Department of Neurosurgery, University of Rome, IRSSC Neuromed Pozzilli, Rome, Italy
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Publication History

Publication Date:
21 January 2008 (online)

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Abstract

The neuroenteric cyst is a rare developmental lesion originating from incomplete formation of the primitive neuroenteric canal. We report on the difficult management of an acute post-traumatic rupture of a cervical neuroenteric cyst. A 35-year-old male patient came to our observation after a spinal injury incurred during a football match. The patient immediately demonstrated tetraplegia and respiratory failure and was operated on. After two weeks the patient died of cardiopulmonary failure. High cervical neurenteric cysts, even those representing benign lesions, can produce dramatic results after a spinal injury.

Zusammenfassung

Neurenterische Zysten stellen eine seltene Fehlbildung dar, die von der unvollständigen Bildung des primitiven neurenterischen Kanals herrührt. Wir berichten über den schwierigen Verlauf bei einer akuten posttraumatischen Ruptur einer zervikal gelegenen neurenterischen Zyste. Wir beschreiben einen männlichen Patienten, 35 Jahre alt, der während eines Fußballspiels ein spinales Trauma erlitt. Der Patient wies unmittelbar danach eine Tetraplegie mit respiratorischem Versagen auf und wurde operativ entlastet. Nach zwei Wochen erlag der Patient bei ungebesserter Tetraplegie seinen kardio-pulmonalen Komplikationen. Hoch zervikal gelegene neurenterische Zysten können dramatische Folgen nach einer traumatischen Wirbelsäulenbelastung aufweisen, obwohl sie prinzipiell benigne Läsionen darstellen.

Key words

neurenteric cysts - cardiopulmonary failure - spinal injury

Schlüsselwörter

neurenterische Zyste - kardio-pulmonales Versagen - Rückenmarkverletzung

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Correspondence

Dr. G. d'AndreaMD 

Department of Neurosurgery

University of Rome

S Andrea Hospital

via Grottarossa 1035 Rome

00100 Rome

Italy

Phone: +30/63/377 54 87

Fax: +39/63/377 58 96

Email: gdandrea2002@yahoo.it

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