A spinal neurenteric cyst presenting as burning feet syndrome.
R S Jain
Abstract
R S Jain
Abstract
Spinal neurenteric cysts are rare congenital cysts of endodermal origin. A 34-year-old man presented with burning feet syndrome lasting two years. Magnetic resonance imaging (MRI) revealed an intradural extramedullary cystic mass extending from L2 to L5 causing severe compression of the terminal portion of the conus medullaris and the filum terminale with displacement to the right side. A tethered cord and filar lipoma were also present. The cystic mass and filar lipoma were resected and the tethered cord released. Histopathology confirmed a neurenteric cyst. This case is reported in view of its peculiar presentation.
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Spinal neurenteric cysts are rare congenital cysts of endodermal origin. A 34-year-old man presented with burning feet syndrome lasting two years. Magnetic resonance imaging (MRI) revealed an intradural extramedullary cystic mass extending from L2 to L5 causing severe compression of the terminal portion of the conus medullaris and the filum terminale with displacement to the right side. A tethered cord and filar lipoma were also present. The cystic mass and filar lipoma were resected and the tethered cord released. Histopathology confirmed a neurenteric cyst. This case is reported in view of its peculiar presentation.
Key concepts: Medicine, Conus medullaris, Filum terminale, Lipoma, Histopathology, Spinal cord, Magnetic resonance imaging, Anatomy