AI Article Synopsis
- An 81-year-old man displayed mild symptoms of myelopathy in his upper limbs, with imaging revealing an unusual lesion in the cervical spine initially thought to be an arachnoid cyst.
- A surgical procedure involving a C1 + 2 hemilaminectomy and partial excision revealed the lesion to be a neurenteric cyst (NC), which is a rare congenital tumor typically diagnosed in younger individuals, around the third decade of life.
- This case is notable as it represents the oldest documented symptomatic presentation of an NC, suggesting that such lesions may occur earlier than reported in existing literature.
Article Abstract
We describe an 81-year-old gentleman presenting with mild myelopathic symptoms in the upper limbs. Imaging showed a C1-3 intradural extramedullary lesion initially thought to be an arachnoid cyst. A C1 + 2 hemilaminectomy and partial excision was performed with histology revealing a neurenteric cyst (NC). NCs are congenital tumours that usually present within the third decade of life, they account for 1% of all spinal tumours. A literature search was conducted and we found that the age of presentation might actually be earlier than previously described. We also found that there has never before been a case described in the eighth decade of life, making this the oldest known symptomatic presentation of this rare condition.
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| http://dx.doi.org/10.1080/02688697.2019.1681361 | DOI Listing |
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