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Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2015; 34(03): 250-257
DOI: 10.1055/s-0035-1554050
Case Report | Relato de Caso
Thieme Publicações Ltda Rio de Janeiro, Brazil

Cisto neuroentérico espinhal: relato de um caso e revisão da literatura

Spinal Neuroenteric Cyst: Report of a Case and Review of the Literature
Cléciton Braga Tavares
1   Neurocirurgião, Professor de Neurologia/Neurocirurgia da Faculdade de Ciências Médicas, Universidade Estadual do Piauí (FACIME/UESPI), Teresina, Piauí, Brasil
,
Emerson Brandão Sousa
2   Mestrado, Neurocirurgião; Professor de Neurologia/Neurocirurgia da FACIME/UESPI, Teresina, Piauí, Brasil
,
Igor Brenno Campbell Borges
3   Neurocirurgião do Hospital de Base do Distrito Federal (HBDF), Brasília, Brasil
,
Amauri Araújo Godinho Júnior
4   Neurocirurgião e Preceptor do Programa de Residência Médica em Neurocirurgia do HBDF, Brasília, Brasil
,
Benício Oton de Lima
4   Neurocirurgião e Preceptor do Programa de Residência Médica em Neurocirurgia do HBDF, Brasília, Brasil
,
Francisca das Chagas Sheyla Almeida Gomes Braga
5   Mestrado, Enfermeira do Hospital de Urgências de Teresina, Teresina, Piauí, Brasil
› Author Affiliations
Further Information

Publication History

07 July 2014

31 March 2015

Publication Date:
03 August 2015 (online)

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Resumo

Cistos neuroentéricos espinhais são anomalias do desenvolvimento, mais comumente encontrados no mediastino posterior e raramente presentes no sistema nervoso central. Geralmente localizados na coluna cervicotorácica. Principalmente encontrados em pacientes jovens e com predomínio no sexo masculino (2:1). Várias hipóteses têm sido sugeridas para explicar a embriogênese dos cistos neuroentéricos, entre elas a mais aceita seria uma incompleta separação entre o ectoderma e o endoderma. Manifesta-se principalmente como dorsalgia e déficit neurológico progressivo. Alguns pacientes apresentam surtos de dor e déficits transitórios. A ressecção completa da lesão, com esvaziamento do cisto e remoção do envoltório, é o tratamento de eleição. As principais complicações pós-operatórias são a recidiva da lesão, aracnoidite e piora do déficit neurológico.

Abstract

Developmental abnormalities are more commonly found in the posterior mediastinum and rarely present in the central nervous system. Usually located in the cervical and thoracic spine. Mainly found in young patients with predominance in males (2:1). Several hypotheses have been suggested to explain the embryogenesis of neuroentéricos cysts, including the most accepted would be an incomplete separation between the ectoderm and endoderm. It manifests primarily as back pain and progressive neurological deficits. Some patients experience bouts of pain and transient deficits. Complete resection of the lesion with dissection of the cyst and removing the wrap, is the treatment of choice. The main postoperative complications are recurrence of injury, arachnoiditis and worsening of neurological deficit.

Palavras-Chaves

cisto enterogenous - cisto neuroentérico - tumor da medula espinhal - disrafismo espinhal - laminectomia

Keywords

enterogenous cyst - neurenteric cyst - spinal cord tumor - spinal dysraphism - laminectomy
 

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