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A Neuroenteric Cyst of the Cavernous Sinus: A Case Report

Background  Neuroenteric cysts (NECs) are benign lesions mostly found as intradural extramedullary lesions in the cervicothoracic spinal cord. NECs in the cavernous sinus are very rare. To the best of our knowledge, this is only the second reported case and the first in an adult. Presentation  We pr...

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Autores principales: Elshamy, Walid, Ozaydin, Burak, Sayyahmelli, Sima, Salamat, M. Shahriar, Baskaya, Mustafa K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2023
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10425234/
https://www.ncbi.nlm.nih.gov/pubmed/37583572
http://dx.doi.org/10.1055/s-0043-1772157
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author Elshamy, Walid
Ozaydin, Burak
Sayyahmelli, Sima
Salamat, M. Shahriar
Baskaya, Mustafa K.
author_facet Elshamy, Walid
Ozaydin, Burak
Sayyahmelli, Sima
Salamat, M. Shahriar
Baskaya, Mustafa K.
author_sort Elshamy, Walid
collection PubMed
description Background  Neuroenteric cysts (NECs) are benign lesions mostly found as intradural extramedullary lesions in the cervicothoracic spinal cord. NECs in the cavernous sinus are very rare. To the best of our knowledge, this is only the second reported case and the first in an adult. Presentation  We present a left cavernous sinus NEC in a 75-year-old female with gradually worsening headache and facial pain unresponsive to medical treatment. Imaging revealed a cystic mass lesion in the left cavernous sinus encasing the distal petrosal and cavernous segment of the internal carotid artery. Initial differential diagnoses included more common pathologies located near the cavernous sinus, including cystic schwannoma, craniopharyngioma, and dermoid and epidermoid tumors. The patient underwent a left pterional craniotomy with an extradural transcavernous approach for surgical exploration and possible resection of this mass lesion. Histopathology revealed an NEC lined with benign respiratory-type epithelium. Postoperative imaging revealed gross total tumor resection. The patient remained neurologically intact with complete resolution of facial pain. Conclusion  We present a rare pathology that can easily be misinterpreted as other types of lesions. NECs should be kept in mind for differential diagnosis of cavernous sinus cystic lesions. The surgical aim should be maximal safe excision.
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spelling pubmed-104252342023-08-15 A Neuroenteric Cyst of the Cavernous Sinus: A Case Report Elshamy, Walid Ozaydin, Burak Sayyahmelli, Sima Salamat, M. Shahriar Baskaya, Mustafa K. J Neurol Surg Rep Background  Neuroenteric cysts (NECs) are benign lesions mostly found as intradural extramedullary lesions in the cervicothoracic spinal cord. NECs in the cavernous sinus are very rare. To the best of our knowledge, this is only the second reported case and the first in an adult. Presentation  We present a left cavernous sinus NEC in a 75-year-old female with gradually worsening headache and facial pain unresponsive to medical treatment. Imaging revealed a cystic mass lesion in the left cavernous sinus encasing the distal petrosal and cavernous segment of the internal carotid artery. Initial differential diagnoses included more common pathologies located near the cavernous sinus, including cystic schwannoma, craniopharyngioma, and dermoid and epidermoid tumors. The patient underwent a left pterional craniotomy with an extradural transcavernous approach for surgical exploration and possible resection of this mass lesion. Histopathology revealed an NEC lined with benign respiratory-type epithelium. Postoperative imaging revealed gross total tumor resection. The patient remained neurologically intact with complete resolution of facial pain. Conclusion  We present a rare pathology that can easily be misinterpreted as other types of lesions. NECs should be kept in mind for differential diagnosis of cavernous sinus cystic lesions. The surgical aim should be maximal safe excision. Georg Thieme Verlag KG 2023-08-14 /pmc/articles/PMC10425234/ /pubmed/37583572 http://dx.doi.org/10.1055/s-0043-1772157 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Elshamy, Walid
Ozaydin, Burak
Sayyahmelli, Sima
Salamat, M. Shahriar
Baskaya, Mustafa K.
A Neuroenteric Cyst of the Cavernous Sinus: A Case Report
title A Neuroenteric Cyst of the Cavernous Sinus: A Case Report
title_full A Neuroenteric Cyst of the Cavernous Sinus: A Case Report
title_fullStr A Neuroenteric Cyst of the Cavernous Sinus: A Case Report
title_full_unstemmed A Neuroenteric Cyst of the Cavernous Sinus: A Case Report
title_short A Neuroenteric Cyst of the Cavernous Sinus: A Case Report
title_sort neuroenteric cyst of the cavernous sinus: a case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10425234/
https://www.ncbi.nlm.nih.gov/pubmed/37583572
http://dx.doi.org/10.1055/s-0043-1772157
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