Hemorrhagic cervical synovial cyst presented with acute Brown-Sequard syndrome: A case report and review of literature

Jitpun, Ekkapot; Narischat, Porn

doi:10.1016/j.clineuro.2020.106055

Cited by 6 publications

(8 citation statements)

References 28 publications

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“…Juxtafacet cysts are likely due to “degenerative joint disease” and facet joint degeneration. [ 4 , 8 ] Degenerative changes lead to myxoid degeneration of collagen connective tissue, joint capsule weakness, and potential herniation of synovial tissue (i.e. synovial fluid fills the newly formed cavity and becomes a cyst).…”

Section: Discussionmentioning

confidence: 99%

“…synovial fluid fills the newly formed cavity and becomes a cyst). [ 2 , 4 , 8 ] Cervical localization is less common and the most cases occur at the cervicothoracic junction-C7/T1. [ 2 , 4 , 7 , 8 , 10 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 8 ] MR images typically show a well-circumscribed, extradural lesion located adjacent to the facet joint with low/intermediate T1-weighted intensity (hypointensity) and high T2-weighted intensity (hyperintensity). [ 4 , 8 ] Erosion of adjacent bone and progressive enlargement might mimic malignancy. [ 4 ] With gadolinium, there is usually peripheral rim enhancement of the cyst wall (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…[ 4 , 8 ] Erosion of adjacent bone and progressive enlargement might mimic malignancy. [ 4 ] With gadolinium, there is usually peripheral rim enhancement of the cyst wall (i.e. reflecting the relative increased vascularity of the capsule).…”

Section: Discussionmentioning

confidence: 99%

“…Cervical juxtafacet cysts are unilateral/dorsolateral intraspinal extradural lesions originating from the facet capsule of a cervical synovial joint[ 4 , 7 , 8 ] These patients are typically in their 60s–70s. [ 4 , 7 , 8 , 10 ] When symptomatic, the clinical presentation depends on size, location, and extent or cord/root compression. [ 8 ] Here, we report a 70-year-old patient whose C1-C2 juxtafacet cyst contributed to cervical myelopathy that resolved following surgical decompression/fusion.…”

Section: Introductionmentioning

confidence: 99%

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Waste not, want not: Report of a completely calcified C1-C2 juxtafacet cyst and literature review

Ruggeri¹,

Brunasso

Urrico³

et al. 2021

Surgical Neurology International

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Background: Calcified juxtafacet cysts in the cervical spine are extremely rate. Such symptomatic cysts commonly cause neck pain, radiculopathy, or even myelopathy. MR and CT studies typically document cord/ root compression. On occasion, some of these cysts will spontaneously regress, while many others may warrant surgical removal. Case Description: A 70-year-old male presented with a 2-year history of a progressive tetraparesis. The preoperative MR/CT studies showed a C1-C2 left extradural mass occupying more than half of the spinal canal. On MR, it was homogeneously hypointense on both T1- and T2-weighted images, while the CT showed a calcified cyst. Intraoperative and histopathological findings documented a calcified cervical juxtafacet cyst (i.e. ganglion subtype) that was fully excised without sequelae. Conclusion: C1-C2 juxtafacet cervical cyst should be considered when a patient presents with myelopathy due to a calcified MR/CT documented paraspinal lesion contributing to significant cervical cord/root compression.

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Section: Discussionmentioning

confidence: 99%