Nakano Yoshiteru
   Department   School of Medicine  Neurosurgery, Clinical Medical Sciences
   Position  
Article types case reports
Language English
Peer review Peer reviewed
Title Intracranial Neurenteric Cyst with an Enhanced Mural Nodule and Melanin Pigmentation: Radiologic-Pathologic Correlation.
Journal Formal name:World neurosurgery
Abbreviation:World Neurosurg
ISSN code:18788769/18788750
Volume, Issue, Page 97,758.e11-758.e19頁
Author and coauthor Yamamoto Junkoh, Shimajiri Shohei, Akiba Daisuke, Nakano Yoshiteru, Nishizawa Shigeru
Publication date 2017/01
Summary BACKGROUND:An intracranial neurenteric cyst (NC) is a rare congenital benign lesion that usually has a well-demarcated cystic appearance without contrast enhancement on magnetic resonance imaging (MRI). In particular, an intracranial NC with an enhanced mural nodule is extremely rare.CASE DESCRIPTION:A 20-year-old man presented with left-sided hearing disturbance and headache. On MRI, a cystic mass was seen in the prepontine cistern that significantly compressed the brainstem. The lesion was hyperintense on T1-weighted images, and contained a solid component that appeared with marked hypointensity on T2*-weighted images and slight enhancement. The cystic wall was removed via a left transcondylar fossa approach. Histopathologic findings showed an NC with a solid component and melanin pigmentation. The solid component showed xanthogranulomatous changes, with evidence of an old hemorrhage, and was strongly adherent to the brainstem.CONCLUSIONS:We present this rare case and emphasize that an NC should be considered in the differential diagnosis of intracranial cystic lesions with an enhanced mural nodule.
DOI 10.1016/j.wneu.2016.09.126
PMID 27742508