{Reference Type}: Case Reports {Title}: The oldest presenting neurenteric cyst of the spinal cord. {Author}: Kemp OAG;Deepak S;Salem O;Arzoglou V; {Journal}: Br J Neurosurg {Volume}: 37 {Issue}: 4 {Year}: Aug 2023 11 {Factor}: 1.124 {DOI}: 10.1080/02688697.2019.1681361 {Abstract}: We describe an 81-year-old gentleman presenting with mild myelopathic symptoms in the upper limbs. Imaging showed a C1-3 intradural extramedullary lesion initially thought to be an arachnoid cyst. A C1 + 2 hemilaminectomy and partial excision was performed with histology revealing a neurenteric cyst (NC). NCs are congenital tumours that usually present within the third decade of life, they account for 1% of all spinal tumours. A literature search was conducted and we found that the age of presentation might actually be earlier than previously described. We also found that there has never before been a case described in the eighth decade of life, making this the oldest known symptomatic presentation of this rare condition.