Bilateral synovial cyst of the thoracic spine causing paraparesis

Giovannini, Sebastían; Pinto, H. Benaím; Marino, Pablo Marqués de; Cervio, Andrés

doi:10.1016/j.neuchi.2019.03.002

Cited by 5 publications

(5 citation statements)

References 17 publications

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“…When they do present in 2 Case Reports in Orthopedics the cervical or thoracic spine, they often arise in locations of increased motion such as the cervicothoracic junction or lower thoracic vertebra [5,6]. There have been 6 reported cases of extradural synovial cysts appearing in the cervicothoracic junction and 20 cases occurring between T10 and T12 [7,8]. Other risk factors for the formation of juxtafacet synovial cysts include rheumatoid arthritis, osteoarthritis, and posttraumatic instability [3].…”

Section: Discussionmentioning

confidence: 99%

“…Only 5 of the 43 cases occurred between T1 and T7, which can be attributed to the anatomical characteristics of the thoracic spine leading to decreased mobility [3,8,9]. Patients are typically treated conservatively initially with analgesics, immobilization, and occasionally CT-guided aspiration with, or without, steroid injection [8,10]. Graham et al determined the use of CT-guided aspiration as a good option for temporary symptomatic relief.…”

Section: Discussionmentioning

confidence: 99%

“…Giovannini et al identified 43 cases of thoracic juxtafacet synovial cysts. Only 5 of the 43 cases occurred between T1 and T7, which can be attributed to the anatomical characteristics of the thoracic spine leading to decreased mobility [ 3 , 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…Patients are typically treated conservatively initially with analgesics, immobilization, and occasionally CT-guided aspiration with, or without, steroid injection [ 8 , 10 ]. Graham et al determined the use of CT-guided aspiration as a good option for temporary symptomatic relief.…”

Section: Discussionmentioning

confidence: 99%

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A Rare T2-T3 Synovial Facet Cyst Causing Progressive Myelopathy

Albana

Griffiths

Radcliff

2021

Case Reports in Orthopedics

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Intraspinal extradural synovial cysts are a rare occurrence at the spinal cord level and thus a rare cause of myelopathy. Synovial cysts usually present in the more mobile lumbar and cervical parts of the spine; however, they may also arise in the thoracic spine. We present a case of a 59-year-old male with a left upper thoracic synovial cyst at T2-3 causing disabling, progressive myelopathy, and an incomplete spinal cord injury syndrome with inability to ambulate. An urgent decompressive laminectomy with bilateral facetectomies, cyst excision, and posterior fusion was performed. Subsequently, the patient recovered full function. Synovial cysts should be considered in the differential diagnosis of progressive thoracic myelopathy. This is only the sixth reported case of a synovial cyst of this kind occurring between the levels of T1 and T7. Urgent surgical decompression is the recommended treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A Rare T2-T3 Synovial Facet Cyst Causing Progressive Myelopathy

Albana

Griffiths

Radcliff

2021

Case Reports in Orthopedics

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“…Facet joint cysts (FJCs) are estimated to affect 0.65%-6.4% of the population and are commonly found in the lumbar spine but rarely in the cervical or thoracic spine (1)(2)(3)(4)(5). The pathogenesis of FJCs remains unknown; however, FJCs are associated with spinal instability or degenerative spondylolisthesis (6,7).…”

Section: Introductionmentioning

confidence: 99%

Percutaneous uniportal full-endoscopic surgery for treating symptomatic lumbar facet joint cysts under local anesthesia combined with monitored anesthesia care: a preliminary report of eight cases with at least 1 year follow-up

Tan,

Yu,

et al. 2023

Front. Neurol.

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BackgroundLumbar facet joint cysts (FJCs) are a relatively rare clinical pathology that can result in radiculopathy or neurogenic claudication. Various treatments such as percutaneous aspiration and surgery have been reported to have good clinical outcomes. However, few clinical studies have aimed to treat symptomatic lumbar FJCs by using uniportal full-endoscopic (UFE) surgery. This study aimed to investigate the preliminary clinical outcomes of UFE surgery for the treatment of lumbar FJCs under local anesthesia combined with monitored anesthesia care (MAC).MethodsEight patients (five males and three females) with symptomatic lumbar FJCs who underwent UFE surgery under local and MAC anesthesia were enrolled in this study between January 2018 and April 2022. The clinical characteristics, radiological features, operative information, visual analog scale (VAS) score, Oswestry disability index (ODI), and overall outcome rating based on the modified MacNab criteria were retrospectively analyzed.ResultsOf the eight patients, four underwent a transforaminal approach and four underwent an interlaminar approach. Postoperatively, the mean VAS score for leg pain decreased from 6.1 before surgery to 0.6 after surgery, and the ODI decreased from 74.5% to 14.7%. All patients were followed up for more than 1 year, and the good-to-excellent rate based on the modified MacNab criteria remained 100% at the last follow-up. No complications occurred during the follow-up period.ConclusionLumbar FJCs can cause severe radiating leg pain and/or neurogenic claudication due to the dural sac compression and nerve roots. As an alternative treatment, UFE decompression under local and MAC anesthesia may provide effective clinical outcomes for symptomatic lumbar FJCs.

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