Neuroenteric cyst

Neuroenteric cysts are rare developmental anomalies that typically occur within or adjacent to the spinal cord, often in the cervical or thoracic regions.

These cysts originate from embryonic remnants of the primitive gut and neural tube, leading to their unique composition of both neural and enteric elements.

As fluid-filled sacs, neuroenteric cysts can exert pressure on the spinal cord or nerve roots, potentially causing neurological symptoms such as pain, weakness, or sensory deficits depending on their size and location.

These cysts are rare and can be discovered incidentally during imaging for other conditions, or they may become symptomatic, prompting further investigation.

Diagnosis is primarily achieved through imaging studies, with MRI being the preferred modality due to its superior ability to delineate soft tissue structures in detail.

MRI can help distinguish neuroenteric cysts from other types of spinal lesions, aiding in the planning of appropriate treatment, which may involve surgical intervention if the cyst is symptomatic.

The treatment of neuroenteric cysts often involves surgical excision, especially when they cause significant neurological deficits or pain.

Complete surgical removal can be challenging due to the cyst's proximity to critical neural structures, and recurrence is not uncommon if the cyst is not fully excised.

Hence, careful surgical planning and follow-up are essential to manage this condition effectively.