This article describes a 16-year-old male patient, otherwise healthy,
with intractable suboccipital pain due to an intradural, extramedullar
y bronchogenic cyst at C1 level. Computed tomographic and magnetic res
onance imaging scans showed an extramedullary cystic lesion on the rig
ht anterolateral side of the spinal cord at C1 level. No other vertebr
al, spinal cord, or cutaneous abnormality was associated. The patient
underwent posterolateral resection of the C1 bony ring on the right si
de, followed by complete removal of a cyst microsurgically. Histology
suggested that the mass, with its contents of slightly viscous and opa
que liquid, was an atypical form of bronchogenic cyst with abundant ps
eudostratified ciliated epithelial cells.