Intraspinal extradural ganglion cyst of the cervical spine.
Intraspinal ganglion cyst is an uncommon lesion, which occurs most frequently in the lower lumbar region; occurrence in the cervical region is extremely rare. We report a case of ganglion cyst in the cervical region and describe its clinical pathological and radiological findings. A 59-year-old man presented with sudden lower limbs weakness and numbness below the nipple level. Magnetic resonance imaging revealed an intraspinal extradural lobulated cystic lesion at the level of C6-7 in contact with the left facet joint and posterior erosion of the spinal process at C7. The spinal cord was severely compressed by this lesion which was hypointense on T1-weighted imaging and hyperintense on T2-weighted imaging and short T1 inversion recovery. The cyst wall was strongly enhanced after contrast injection. Intraoperatively, the mass was found to arise from the capsule of the C6-7 facet joint. The excised cyst contained jelly-like fluid. The patient's neurologic symptoms had fully recovered 20 days after the operation. The histopathologic analysis was consistent with ganglion cyst. Ganglion cyst of the cervical region is extremely rare, but must be considered in the differential diagnosis of intraspinal extradural compressive syndromes.
Cheng
Yung-Yi
YY
Section of Radiology, Puli Veterans Hospital, Puli, Taiwan.
Chen
Clayton Chi-Chang
CC
Yang
Ming-Shiang
MS
Hung
Hao-Chun
HC
Lee
San-Kan
SK
D002574:Cervical Vertebrae / Q000473:pathology*; D045888:Ganglion Cysts / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013117:Spinal Cord Compression / Q000209:etiology