Abstract
We report a case of intraspinal enterogenous cyst complaining of chest pain and gait disturbance. A 43-year-old male experienced chest pain 7 years ago when driving over bumps and swallowing something. I schemic heart disease was initially suspected, but no abnormality was detected by detailed examination. These symptoms subsided with antidepressant drugs.
He experienced chest pain again which did not subside with the antidepressant drugs, and gait disturbance started. Magnetic resonance imaging (MRI) and myelogram showed a cystic lesion located in front of the cervicothoracic spinal canal, and which oppressed the cord severely to the posterior. Neither turbulence in the cyst nor communication flow between the cyst and subarachnoid space was seen in cine MRI.
Tumor was resected by the posterior approach. After resection, pathological study revealed the mass to be an enterogenous cyst. The symptoms disappeared after surgery, and no tumor recurrence was seen by MRI for 6 months after surgery.
