A Recurrent Cervical Neurenteric Cyst Treated Anteriorly: Safe, Gross-Total Excision Facilitated by Prophylactic Unilateral Vertebral Artery Exposure, Microdissection, and Spinal Cord Monitoring—A Case Report and Technical Note
This study reports on a 67-year-old woman with partial Brown-Séquard syndrome due to a recurrent cervical neurenteric cyst at C3 to C4. The myelopathic symptoms reappeared 22 years after a previous shunting operation performed posteriorly with a silicone tube connecting the intradural cervical cyst...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2018/7620182 |
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| author | Kazunobu Kida Toshikazu Tani Tateo Kawazoe Makoto Hiroi |
| author_facet | Kazunobu Kida Toshikazu Tani Tateo Kawazoe Makoto Hiroi |
| author_sort | Kazunobu Kida |
| collection | DOAJ |
| description | This study reports on a 67-year-old woman with partial Brown-Séquard syndrome due to a recurrent cervical neurenteric cyst at C3 to C4. The myelopathic symptoms reappeared 22 years after a previous shunting operation performed posteriorly with a silicone tube connecting the intradural cervical cyst cavity to the subarachnoid space. We have now succeeded in removing the cyst nearly completely with the anterior approach. The surgical procedure consisted of right vertebral artery exposure at C3 and C4 and a subtotal corpectomy of C3 followed by microdissection of the cyst, duraplasty, and iliac strut graft fusion. Spinal cord monitoring with motor-evoked potential studies helped us safely dissect the cyst wall tightly adhering to the spinal cord. Duraplasty with Gore-Tex patch-grafting in conjunction with postoperative lumbar subarachnoid drainage worked well in preventing a spinal fluid fistula. At two years after surgery, the patient showed a nearly complete return of function without any recurrence of the cyst. |
| format | Article |
| id | doaj-art-7ed10b5946a54e9793610b8d6eeb7e85 |
| institution | OA Journals |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-7ed10b5946a54e9793610b8d6eeb7e852025-08-20T02:08:35ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/76201827620182A Recurrent Cervical Neurenteric Cyst Treated Anteriorly: Safe, Gross-Total Excision Facilitated by Prophylactic Unilateral Vertebral Artery Exposure, Microdissection, and Spinal Cord Monitoring—A Case Report and Technical NoteKazunobu Kida0Toshikazu Tani1Tateo Kawazoe2Makoto Hiroi3Department of Orthopaedic Surgery, Kubokawa Hospital, 902-1 Mitsuke, Shimanto-cho, Takaoka-gun, Kochi 786-0002, JapanDepartment of Orthopaedic Surgery, Kubokawa Hospital, 902-1 Mitsuke, Shimanto-cho, Takaoka-gun, Kochi 786-0002, JapanDepartment of Orthopaedic Surgery, Kubokawa Hospital, 902-1 Mitsuke, Shimanto-cho, Takaoka-gun, Kochi 786-0002, JapanLaboratory of Diagnostic Pathology, Kochi Medical School, Kohasu Oko-cho, Nankoku, Kochi 783-8505, JapanThis study reports on a 67-year-old woman with partial Brown-Séquard syndrome due to a recurrent cervical neurenteric cyst at C3 to C4. The myelopathic symptoms reappeared 22 years after a previous shunting operation performed posteriorly with a silicone tube connecting the intradural cervical cyst cavity to the subarachnoid space. We have now succeeded in removing the cyst nearly completely with the anterior approach. The surgical procedure consisted of right vertebral artery exposure at C3 and C4 and a subtotal corpectomy of C3 followed by microdissection of the cyst, duraplasty, and iliac strut graft fusion. Spinal cord monitoring with motor-evoked potential studies helped us safely dissect the cyst wall tightly adhering to the spinal cord. Duraplasty with Gore-Tex patch-grafting in conjunction with postoperative lumbar subarachnoid drainage worked well in preventing a spinal fluid fistula. At two years after surgery, the patient showed a nearly complete return of function without any recurrence of the cyst.http://dx.doi.org/10.1155/2018/7620182 |
| spellingShingle | Kazunobu Kida Toshikazu Tani Tateo Kawazoe Makoto Hiroi A Recurrent Cervical Neurenteric Cyst Treated Anteriorly: Safe, Gross-Total Excision Facilitated by Prophylactic Unilateral Vertebral Artery Exposure, Microdissection, and Spinal Cord Monitoring—A Case Report and Technical Note Case Reports in Orthopedics |
| title | A Recurrent Cervical Neurenteric Cyst Treated Anteriorly: Safe, Gross-Total Excision Facilitated by Prophylactic Unilateral Vertebral Artery Exposure, Microdissection, and Spinal Cord Monitoring—A Case Report and Technical Note |
| title_full | A Recurrent Cervical Neurenteric Cyst Treated Anteriorly: Safe, Gross-Total Excision Facilitated by Prophylactic Unilateral Vertebral Artery Exposure, Microdissection, and Spinal Cord Monitoring—A Case Report and Technical Note |
| title_fullStr | A Recurrent Cervical Neurenteric Cyst Treated Anteriorly: Safe, Gross-Total Excision Facilitated by Prophylactic Unilateral Vertebral Artery Exposure, Microdissection, and Spinal Cord Monitoring—A Case Report and Technical Note |
| title_full_unstemmed | A Recurrent Cervical Neurenteric Cyst Treated Anteriorly: Safe, Gross-Total Excision Facilitated by Prophylactic Unilateral Vertebral Artery Exposure, Microdissection, and Spinal Cord Monitoring—A Case Report and Technical Note |
| title_short | A Recurrent Cervical Neurenteric Cyst Treated Anteriorly: Safe, Gross-Total Excision Facilitated by Prophylactic Unilateral Vertebral Artery Exposure, Microdissection, and Spinal Cord Monitoring—A Case Report and Technical Note |
| title_sort | recurrent cervical neurenteric cyst treated anteriorly safe gross total excision facilitated by prophylactic unilateral vertebral artery exposure microdissection and spinal cord monitoring a case report and technical note |
| url | http://dx.doi.org/10.1155/2018/7620182 |
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