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Delayed Myelopathy After Trivial Neck Injury in a Patient With a Cervical Neurenteric Cyst

Published online by Cambridge University Press:  18 September 2015

Rajiv Midha ,
Bruce Gray ,
Laurence Becker  and
James Drake
Rajiv Midha
Affiliation:
Department of Surgery (Neurosurgery), Hospital for Sick Children, University of Toronto, Toronto
Bruce Gray
Affiliation:
Department of Neuroradiology, Hospital for Sick Children, University of Toronto, Toronto
Laurence Becker
Affiliation:
Department of Neuropathology, Hospital for Sick Children, University of Toronto, Toronto
James Drake*
Affiliation:
Department of Surgery (Neurosurgery), Hospital for Sick Children, University of Toronto, Toronto
*
Division of Neurosurgery, Hospital for Sick Children. 555 University Avenue. University of Toronto, Tononto. Ontario, Canada M5G 1X8
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Abstract

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Background:

Neurenteric cysts are rare spinal lesions of congenital origin. They usually present insidiously with a long history of local spinal pain, radiculopathy and myelopathy. We report a 14-year-old male with a high cervical neurenteric cyst who developed a progressive myelopathy after minor neck trauma. Full recovery followed a partial cyst excision and decompressive procedure.

Significance and conclusion:

The possible pathogenic mechanisms for this unusual presentation include hemorrhage into the cyst, sudden mechanical compression from abnormal spinal movement of a chronically distorted and compressed spinal cord, or an increase in the size of the cyst secondary to accumulation of cyst fluid. In this case a small increase in the cyst size may have resulted in increased mechanical distortion and spinal cord dysfunction on a compressive and ischemic basis.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 22 , Issue 2 , May 1995 , pp. 168 - 171
Copyright
Copyright © Canadian Neurological Sciences Federation 1995

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