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J Neurol Surg A Cent Eur Neurosurg 2013; 74(06): 378-387
DOI: 10.1055/s-0032-1304812
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Supratentorial Endodermal Cysts: Review of Literature and Case Report

Riccardo Caruso
1   Neurologia e Psichiatria, Sapienza Universita' di Roma, Roma, RM, Italy
2   Neurochirurgia, Policlinico militare di Roma, Roma, RM, Italy
,
Marco Artico
3   Anatomia, Sapienza Universita' di Roma, Roma, RM, Italy
,
Claudio Colonnese
1   Neurologia e Psichiatria, Sapienza Universita' di Roma, Roma, RM, Italy
,
Luigi Marrocco
2   Neurochirurgia, Policlinico militare di Roma, Roma, RM, Italy
,
Venceslao Wierzbicki
2   Neurochirurgia, Policlinico militare di Roma, Roma, RM, Italy
› Author Affiliations
Further Information

Publication History

11 August 2011

28 November 2011

Publication Date:
14 June 2012 (online)

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Abstract

Supratentorial endodermal cysts are very rare pathological entities. Their pathoembryology is largely unknown and they can represent a diagnostic challenge. A research performed on the PubMed database in December 2010, to screen for supratentorial endodermal cyst studies, demonstrated that since 1960 only 31 supratentorial endodermal cysts have been described in the literature, including our case: a 42-year-old woman with a parasellar endodermal cyst. These lesions are usually benign. As with other types of brain cysts, the signs and symptoms caused by supratentorial endodermal cysts are mainly linked to the compression or irritation of surrounding neural structures. Upon neuroimaging examination, they typically appear as a round or lobulated mass. The signal intensity may vary depending on the protein content of the cyst. The majority of reported supratentorial endodermal cysts were completely excised with good or excellent results. Incomplete excision can result in an increased risk of recurrence, infection, and dissemination.

Keywords

endodermal cyst - neurenteric cyst - epithelial cyst - enterogenous cyst - intracranial lesion
 

  • References

  • 1 Jeung MY, Gasser B, Gangi A , et al. Imaging of cystic masses of the mediastinum. Radiographics 2002; 22 (Spec No) S79-S93
    PubMedGoogle Scholar
  • 2 Agnoli AL, Laun A, Schönmayr R. Enterogenous intraspinal cysts. J Neurosurg 1984; 61 (5) 834-840
    CrossrefPubMedGoogle Scholar
  • 3 Agrillo A, Passacantilli E, Santoro A, Delfini R. Spinal intradural endodermal cyst located anterior to the cervical spinal cord. J Neurosurg Sci 2001; 45 (4) 220-223
    PubMedGoogle Scholar
  • 4 Bejjani GK, Wright DC, Schessel D, Sekhar LN. Endodermal cysts of the posterior fossa. Report of three cases and review of the literature. J Neurosurg 1998; 89 (2) 326-335
    CrossrefPubMedGoogle Scholar
  • 5 Malcolm GP, Symon L, Kendall B, Pires M. Intracranial neurenteric cysts. Report of two cases. J Neurosurg 1991; 75 (1) 115-120
    CrossrefPubMedGoogle Scholar
  • 6 Afshar F, Scholtz CL. Enterogenous cyst of the fourth ventricle: case report. J Neurosurg 1981; 54 (6) 836-838
    CrossrefPubMedGoogle Scholar
  • 7 Morgan MA, Enterline DS, Fukushima T, McLendon RE, Cummings TJ. Endodermal cyst of the oculomotor nerve. Neuroradiology 2001; 43 (12) 1063-1066
    CrossrefPubMedGoogle Scholar
  • 8 Okunaga T, Tsutsumi K, Hayashi T, Nagata I. Endodermal cyst of the oculomotor nerve: case report. Neurosurgery 2006; 58 (5) E994 , discussion E994
    CrossrefPubMedGoogle Scholar
  • 9 Mittal S, Petrecca K, Sabbagh AJ , et al. Supratentorial neurenteric cysts-A fascinating entity of uncertain embryopathogenesis. Clin Neurol Neurosurg 2010; 112 (2) 89-97
    CrossrefPubMedGoogle Scholar
  • 10 List CF, Williams JR. Subdural epithelial cyst in the interhemispheral fissure. Report of a case, with some remarks concerning the classification of intracranial and thelial cysts. J Neurosurg 1961; 18: 690-693
    PubMedGoogle Scholar
  • 11 Vuia O. Congenital intracerebral epithelial cysts. Neurochirurgia (Stuttg) 1976; 19 (5) 219-226
    PubMedGoogle Scholar
  • 12 Palma L, Celli P. Suprasellar epithelial cyst. Case report. J Neurosurg 1983; 58 (5) 763-765
    CrossrefPubMedGoogle Scholar
  • 13 Campbell DA, Varma TR. An extraventricular colloid cyst: case report. Br J Neurosurg 1991; 5 (5) 519-522
    CrossrefPubMedGoogle Scholar
  • 14 Dauch WA, Hellwig D, Rossberg C, Lütcke A, Mennel HD. [Epithelial cyst of the central nervous system. A rare abnormality]. Neurochirurgia (Stuttg) 1991; 34 (4) 111-115
    PubMedGoogle Scholar
  • 15 Scaravilli F, Lidov H, Spalton DJ, Symon L. Neuroenteric cyst of the optic nerve: case report with immunohistochemical study. J Neurol Neurosurg Psychiatry 1992; 55 (12) 1197-1199
    CrossrefPubMedGoogle Scholar
  • 16 Leventer DB, Merriam JC, Defendini R , et al. Enterogenous cyst of the orbital apex and superior orbital fissure. Ophthalmology 1994; 101 (9) 1614-1621
    PubMedGoogle Scholar
  • 17 Graziani N, Dufour H, Figarella-Branger D, Donnet A, Bouillot P, Grisoli F. Do the suprasellar neurenteric cyst, the Rathke cleft cyst and the colloid cyst constitute a same entity?. Acta Neurochir (Wien) 1995; 133 (3-4) 174-180
    CrossrefPubMedGoogle Scholar
  • 18 Harrison MJ, Morgello S, Post KD. Epithelial cystic lesions of the sellar and parasellar region: a continuum of ectodermal derivatives?. J Neurosurg 1994; 80 (6) 1018-1025
    CrossrefPubMedGoogle Scholar
  • 19 Bavetta S, El-Shunnar K, Hamlyn PJ. Neurenteric cyst of the anterior cranial fossa. Br J Neurosurg 1996; 10 (2) 225-227
    CrossrefPubMedGoogle Scholar
  • 20 Ho LC, Olivi A, Cho CH, Burger PC, Simeone F, Tihan T. Well-differentiated papillary adenocarcinoma arising in a supratentorial enterogenous cyst: case report. Neurosurgery 1998; 43 (6) 1474-1477
    CrossrefPubMedGoogle Scholar
  • 21 Asamoto S, Sugiyama H, Doi H , et al. [A case of neuroaxis endodermal cyst]. No To Shinkei 1999; 51 (6) 520-523
    PubMedGoogle Scholar
  • 22 Sampath S, Yasha TC, Shetty S, Chandramouli BA. Parasellar neurenteric cyst: unusual site and histology: case report. Neurosurgery 1999; 44 (6) 1335-1337 , discussion 1337–1338
    PubMedGoogle Scholar
  • 23 Cheng JS, Cusick JF, Ho KC, Ulmer JL. Lateral supratentorial endodermal cyst: case report and review of literature. Neurosurgery 2002; 51 (2) 493-499 , discussion 499
    CrossrefPubMedGoogle Scholar
  • 24 Christov C, Chrétien F, Brugieres P, Djindjian M. Giant supratentorial enterogenous cyst: report of a case, literature review, and discussion of pathogenesis. Neurosurgery 2004; 54 (3) 759-763 , discussion 763
    CrossrefPubMedGoogle Scholar
  • 25 Kachur E, Ang LC, Megyesi JF. Intraparenchymal supratentorial neurenteric cyst. Can J Neurol Sci 2004; 31 (3) 412-416
    PubMedGoogle Scholar
  • 26 Tan GS, Hortobágyi T, Al-Sarraj S, Connor SE. Intracranial laterally based supratentorial neurenteric cyst. Br J Radiol 2004; 77 (923) 963-965
    CrossrefPubMedGoogle Scholar
  • 27 Preece MT, Osborn AG, Chin SS, Smirniotopoulos JG. Intracranial neurenteric cysts: imaging and pathology spectrum. AJNR Am J Neuroradiol 2006; 27 (6) 1211-1216
    PubMedGoogle Scholar
  • 28 Neckrysh S, Valyi-Nagy T, Charbel FT. Neuroenteric cyst of the anterior cranial fossa: case report and review of the literature. Surg Neurol 2006; 65 (2) 174-177 , discussion 177
    CrossrefPubMedGoogle Scholar
  • 29 Miyagi A, Katayama Y. Neurenteric cyst arising in the high convexity parietal lesion: case report. Neurosurgery 2007; 60 (1) E203-E204 , discussion E204
    PubMedGoogle Scholar
  • 30 Basheer N, Kasliwal MK, Suri A, Sharma MC, Arora A, Sharma BS. Lateral extradural, supratentorial neurenteric cyst. J Clin Neurosci 2010; 17 (5) 639-641
    CrossrefPubMedGoogle Scholar
  • 31 Keiner D, Gaab MR, Ostertag H, Sommer C, Oertel J. Brain abscess formation within an endodermal cyst of the frontal lobe: case report. Minim Invasive Neurosurg 2009; 52 (5-6) 242-245
    Article in Thieme ConnectPubMedGoogle Scholar
  • 32 Garbizu JM, Mateo-Sierra O, Iza B, Ruiz-Juretschke F, Pérez-Calvo JM. [Supratentorial endodermal cyst. Case report]. Neurocirugia (Astur) 2009; 20 (4) 367-371
    PubMedGoogle Scholar
  • 33 Dunham CP, Curry B, Hamilton M. Malignant transformation of an intraaxial-supratentorial neurenteric cyst - case report and review of the literature. Clin Neuropathol 2009; 28 (6) 460-466
    PubMedGoogle Scholar
  • 34 Wilkins RH, Odom GL. Spinal intradural cysts. In: Vynken PJ, Bruyin GW, , eds. Handbook of Clinical Neurology. Vol. 20. Amsterdam: North-Holland; 1976: 55-102
    Google Scholar
  • 35 Lach B, Scheithauer BW, Gregor A, Wick MR. Colloid cyst of the third ventricle. A comparative immunohistochemical study of neuraxis cysts and choroid plexus epithelium. J Neurosurg 1993; 78 (1) 101-111
    CrossrefPubMedGoogle Scholar
  • 36 Bremer JL. Dorsal intestinal fistula; accessory neurenteric canal; diastematomyelia. AMA Arch Pathol 1952; 54 (2) 132-138
    PubMedGoogle Scholar
  • 37 Dias MS, Walker ML. The embryogenesis of complex dysraphic malformations: a disorder of gastrulation?. Pediatr Neurosurg 1992; 18 (5-6) 229-253
    CrossrefPubMedGoogle Scholar
  • 38 Prop N, Frensdorf EL, van de Stadt FR. A postvertebral entodermal cyst associated with axial deformities: a case showing the “entodermal-ectodermal adhesion syndrome”. Pediatrics 1967; 39 (4) 555-562
    PubMedGoogle Scholar
  • 39 Catala M, Poirier J. [Intracranial and intraspinal epithelial cysts: a simplified classification]. Rev Neurol (Paris) 2000; 156 (5) 447-449
    PubMedGoogle Scholar
  • 40 Shah A, Muzumdar D, Goel N, Goel A. Fulminant fatal meningitis following partial resection of an endodermal cyst. Acta Neurochir (Wien) 2010; 152 (4) 729-730
    CrossrefPubMedGoogle Scholar
  • 41 Osborn AG, Preece MT. Intracranial cysts: radiologic-pathologic correlation and imaging approach. Radiology 2006; 239 (3) 650-664
    CrossrefPubMedGoogle Scholar