Synovial cyst in the cervical region causing severe myelopathy.
The authors describe a case of an 80-year-old man with a gradual weakness of the lower extremities not linked to any known traumatic episode over the 2 weeks before admission. CT scan and MRI of the spine revealed a cystic formation, measuring about 1 cm in diameter, at C7-T1 at the left posterolateral site at the level of the articular facet. During surgery, the mass appeared to be in the ligamentum flavum at the level of the articular facet and was in contact with the dura mater. After the removal of the mass, there was an immediate and significant improvement of the patient's symptoms. Histopathologic examination showed the cyst to be composed of nonspecific degenerative fibrous tissue with mild inflammatory change and confirmed the cyst as a synovial cyst. Synovial cyst in the cervical region is a very rare lesion causing myelopathy. Surgical removal of the cyst and decompression of the spinal cord results in good neurological recovery.
Cho
Bo Young
BY
Department of Neurosurgery, National Health Insurance Corporation Ilsan Hospital, 1232 Baekseok-dong, Ilsan-gu, Koyang-si, Kyonggi-do 411-719, Korea. bocho@nhimc.or.kr
Zhang
Ho Yeol
HY
Kim
Han Sung
HS
D000368:Aged; D000369:Aged, 80 and over; D002574:Cervical Vertebrae; D019299:Decompression, Surgical; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013117:Spinal Cord Compression / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D013581:Synovial Cyst / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed