CSF bone cyst in a cervical vertebra.
A 43 year male patient presented with neck pain, upper limb paraesthesia and right foot weakness. A MRI scan revealed a bone cyst involving C4 spinous process, lamina, pedicles and the posterior part of the vertebral body causing focal spinal stenosis. A C4 laminectomy and C3-C5 lateral mass screw fixation was done. Intra-operatively the cyst was found to contain CSF with an associated dural defect. A CSF cervical vertebral cyst has not been previously reported in the literature. The clinical presentation, radiological features and management of this CSF vertebral cyst is discussed.
Dhaliwal
Jagwinder
J
Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, UK. jagdhaliwal@hotmail.co.uk
Abbas
Naeem
N
Hamid
Nafees A
NA
D000328:Adult; D001845:Bone Cysts / Q000134:cerebrospinal fluid* / Q000175:diagnosis; D002574:Cervical Vertebrae / Q000601:surgery; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D019547:Neck Pain / Q000209:etiology; D013123:Spinal Fusion; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome