Publications by authors named "Niovi Bejjani"

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Antenatally diagnosed intraspinal-posterior mediastinal neurenteric cyst - what is the optimal management?

Clin Neurol Neurosurg 2022 Jan 24;212:107040. Epub 2021 Nov 24.

Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon. Electronic address:

Neurenteric cyst is a rare congenital anomaly that belongs to the spinal dysraphism spectrum. It is classically a disease of late childhood, with some rare reports of intrauterine and adult presentation. The increase in incidental antenatal diagnosis raises new management questions. We present a case of an asymptomatic combined intraspinal-posterior mediastinal neurenteric cyst. The cyst was diagnosed on antenatal ultrasound and was initially treated with image-guided aspiration in early infancy. However, the cyst recurred and the patient developed recurrent episodes of bacterial meningitis. Two-stage surgical resection was performed, although the infection prohibited complete excision. We caution against image guided aspiration of neurenteric cysts, and suggest a management algorithm based on the available literature.
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January 2022