Fronto-laterally located supratentorial bronchogenic cyst: case report and review of the literature.

Abstract

Bronchogenic cysts are rare findings within the central nervous system and even extremely seldom if they are located supratentorially. We report on a 25-year-old man who presented with a single generalized seizure without any accompanying neurological deficit 6 weeks prior to admission. MRI showed a smoothly limited, non-calcified cyst of a maximum of 55 mm in diameter. Large parts of the membrane were removed through a right anterior craniotomy, and a fenestration into the subarachnoidal space was performed. Histopathological examinations revealed a bronchogenic cyst. Previous reports of neurenteric cysts are reviewed. Therapeutic options, pathogenesis and categorization of this uncommon congenital entity are discussed.