Glioependymal cyst in the medulla oblongata – A case report

Author:

Abdulateef Awfa Aktham1,Morita Shuhei1,Hoz Samer S.2,Atallah Oday3,Numazawa Shinichi1,Ito Yasunobu1,Watanabe Sadayoshi1,Mori Kentaro1

Affiliation:

1. Department of Neurosurgery, Tokyo General Hospital, Nakano, Tokyo, Japan,

2. Department of Neurosurgery, University of Pittsburgh Medical Center (UPMC), Pittsburgh, Pennsylvania, USA,

3. Department of Neurosurgery, Hannover Medical School, Hannover, Germany.

Abstract

Background: Glioependymal cysts (GECs) are rare benign lesions that can be found anywhere along the neuroaxis, with most of the reports denoting supratentorial location. Here, we introduce a rare case of successfully treated glioependymal cysts lying in an uncommon location, namely medulla oblongata. Case Description: A 69-year-old lady presented with progressive unsteadiness and swallowing disturbances, and brain magnetic resonance imaging showed a dorsally located lesion within the medulla oblongata; based on the presentation and radiological features, surgical intervention was deemed mandatory. The suboccipital midline approach was used to perform marsupialization of the cyst with shunting through a syringosubarachnoid shunt to prevent future recurrence, and the patient outcome was improved. Conclusion: Medulla Oblongata’s location for glioependymal cysts proposed unique diagnostic and operative challenges that may require highlighting for practicing neurosurgeons.

Publisher

Scientific Scholar

Subject

Neurology (clinical),Surgery

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