Sudden Quadriparesis Due to a Ventral Cervical Neurenteric Cyst: A Rare but Reversible Cause of Acute Myelopathy

This case underscores two important lessons. First, although neurenteric cysts are classically indolent, they may present with abrupt, life-threatening neurological decline, even in the absence of associated congenital vertebral anomalies. Second, prompt surgical decompression with gross total resection remains the cornerstone of management, offering excellent potential for recovery. Given the risk of recurrence, radiological surveillance is warranted. This report adds to the limited literature on cervical neurenteric cysts with hyperacute presentations and emphasizes the need for early recognition and timely intervention to optimize outcomes.

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Publication Details

Journal
The Neurohospitalist
Published
2025-11-13
DOI
https://doi.org/10.1177/19418744251398271
Primary Topic
Spinal Dysraphism and Malformations
Type
article
Field-Weighted Citation Impact
0.00
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article

Sudden Quadriparesis Due to a Ventral Cervical Neurenteric Cyst: A Rare but Reversible Cause of Acute Myelopathy

Jayanta Roy, Sashank Raj, Julián Benito‐León, Ritwick Mondal et al.
The Neurohospitalist
Spinal Dysraphism and Malformations
article

Sudden Quadriparesis Due to a Ventral Cervical Neurenteric Cyst: A Rare but Reversible Cause of Acute Myelopathy

Jayanta Roy, Sashank Raj, Julián Benito‐León, Ritwick Mondal, Shramana Deb, Nirmalya Ray, Partha Pratim Mondal, Russoti Das
article en

Abstract

This case underscores two important lessons. First, although neurenteric cysts are classically indolent, they may present with abrupt, life-threatening neurological decline, even in the absence of associated congenital vertebral anomalies. Second, prompt surgical decompression with gross total resection remains the cornerstone of management, offering excellent potential for recovery. Given the risk of recurrence, radiological surveillance is warranted. This report adds to the limited literature on cervical neurenteric cysts with hyperacute presentations and emphasizes the need for early recognition and timely intervention to optimize outcomes.

The Neurohospitalist
Universidad Complutense de Madrid (ES), National Institute of Technology Durgapur (IN), Max Super Speciality Hospital (IN), Research Institute Hospital 12 de Octubre (ES), Biomedical Research Networking Center on Neurodegenerative Diseases (ES), Desun Hospital & Heart Institute (IN), BLK Super Speciality Hospital (IN), Manipal Hospital (IN)
Openalex Percentile: Top 56%
Spinal Dysraphism and Malformations
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