[01] Ribhav Pasricha, Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India. [02] Guru Dutta Satyarthee, Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India. [03] Bhawani Shankar Sharma, Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.

A giant, ventrally placed cervical spinal neurenteric cyst in a pediatric patient presented with acute onset quadriparesis. Magnetic resonance imaging showed a large cyst in the cervical spine lying ventral to the cord at C2-C3 levels and causing severe cord compression. Cyst decompression surgery involved laminoplasty, cyst drainage and wall excision with minimal cord retraction. The procedure resulted in immediate improvement of muscle power in all four limbs of the patient. Ventrally placed intradural lesions in the cervical spinal cord can be a surgical challenge and the decision between the appropriate anterior or posterior approach should be made on the individual patients clinical and radiological profile.

Pediatric Spinal Tumors, Spinal Tumors, Neurenteric Cyst, Laminoplasty, MRI

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