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Author Gopalakrishnan, C. V. ♦ Dhakoji, Amit ♦ Shrivastava, Adesh ♦ Nair, S.
Source Sree Chitra Tirunal Institute for Medical Sciences & Technology
Content type Text
Publisher Neurosurgery Quarterly
File Format PDF
Language English
Subject Domain (in DDC) Technology ♦ Medicine & health ♦ Surgery & related medical specialties
Subject Domain (in MeSH) Nervous System Diseases ♦ Diseases
Subject Keyword Neurosurgery
Abstract Intracranial neurenteric cysts are rare congenital tumors, which are located largely in the posterior fossa. The benign nature of the lesion allows them to attain large proportions before they are diagnosed. Histopathogenesis of neurenteric cysts is controversial and they are thought to develop during the third week of gestation as a result of endodermal dysgenesis. This is also the period during which the fetal cerebral circulation develops. The transformation from fetal-type to adult-type circulation begins from the eighth week, and theoretically, any disturbance during this process may lead to persistent fetal-type posterior cerebral circulation. We report a unique case of neurenteric cyst in the posterior fossa with bilateral full fetal-type posterior circulation. To the best of our knowledge, there has been no reported case of a congenital cyst in the posterior fossa associated with fetal-type posterior circulation. As angiography for such benign cystic lesions in the posterior fossa is not routinely practiced, the incidence of their association with persistent fetal circulation is not known. We postulate that congenital lesions in the posterior fossa can affect the normal vascular development leading to known arterial variations.
Education Level UG and PG
Learning Resource Type Article
Educational Framework Medical Council of India (MCI)
Volume Number 20
Issue Number 4
Page Count 3
Starting Page 311
Ending Page 313