Atypical vertebral artery in a patient with an intra-and extraspinal cervical neurenteric cyst.

Schmidbauer, M; Reinprecht, A; Schuster, H; Wimberger, D; Kollegger, H · Acta Neurochir (Wien) · 1991

case_report · Level V

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Abstract

A 15 year old girl experienced Horner's syndrome on the right side, paraesthesia of the right arm and meningitis. CT and MRI showed a cystic lesion on the right side of the cervical spine at C3/C4 which descended with an extraspinal portion down to C6. Histology revealed a complex neurenteric cyst. The ipsilateral vertebral artery showed an atypical course. This abnormal artery besides a partial fusion of the vertebrae C2/C3/C4 suggest a complex malformation at the site of the cyst. Disturbed developmental relationships in this case indicate that pathological blood vessels may represent a risk factor in the surgical treatment of neurenteric cysts.

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