Primary nerve repair following resection of a neurenteric cyst of the oculomotor nerve

Author:

Turner Scott J.1,Dexter Mark A.1,Smith James E. H.2,Ouvrier Robert3

Affiliation:

1. Department of Neurosurgery, Westmead Hospital; and

2. Departments of Ophthalmology and

3. Medicine, Children's Hospital at Westmead, New South Wales, Australia

Abstract

Neurenteric cysts are rare congenital lesions of endodermal origin occurring in the spinal canal and infrequently in the posterior cranial fossa. The authors report the case of a 3-year-old child who presented with a recurrent third cranial nerve palsy. Magnetic resonance imaging showed a large cystic mass lesion in the ambient cistern on the right side, with compression of the anterolateral aspect of the brainstem. The patient underwent a craniotomy, complete excision, and a primary third cranial nerve repair. While there have been 3 reported cases of neurenteric cysts arising from the oculomotor nerve, this is the first documented case with a primary nerve repair.

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

General Medicine

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