Compression of thoracic nerve root by a facet joint synovial cyst: Case report

Lopes, Nilo Mario Monteiro; Aesse, F.; Lopes, Demetrius K.

doi:10.1016/0090-3019(92)90018-i

Cited by 23 publications

(5 citation statements)

References 16 publications

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“…15,17 The majority of published reports on patients with these lesions involve the lumbar spine, 5,9,11,16 where the symptoms and clinical findings tend to be identical to those of other extradural lesions such as disc prolapse and lumbar canal stenosis. Synovial cysts of the thoracic spine are less common 6,12 and tend to produce symptoms of either thoracic nerve root or spinal cord compression. On review of the literature cervical synovial cysts fall into two distinct categories: those arising from the atlantodental joint that cause cervicomedullary compression, 1 and those arising subaxially from the posteriorly placed cervical facet joints that cause either nerve root compression 4,8,14 or spinal cord compression.…”

Section: Discussionmentioning

confidence: 99%

Subaxial cervical synovial cyst presenting with myelopathy

Cudlip¹,

Johnston²,

Marsh³

1999

Journal of Neurosurgery: Spine

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✓ Synovial cysts occur infrequently in the spinal canal and are most often associated with degenerative facet joints. Despite the prevalence of degenerative spinal disease, symptomatic synovial cysts are extremely uncommon. There have been only two previously reported cases of subaxial degenerative synovial cysts of the cervical spine in patients who presented with a clinical picture of spinal cord compression. The authors report three additional patients treated for degenerative cervical synovial cysts who presented with myelopathy. In all three patients the cyst was successfully excised and a good clinical outcome achieved.

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Section: Discussionmentioning

confidence: 99%

Subaxial cervical synovial cyst presenting with myelopathy

Cudlip¹,

Johnston²,

Marsh³

1999

Journal of Neurosurgery: Spine

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“…Intraforaminal cysts at Th12-L1 level and bilateral formation are very rare6). Cysts in the cervical spine and thoracic spine are also more rare2,4,10).…”

Section: Discussionmentioning

confidence: 99%

Bilateral Thoracic Ganglion Cyst : A Rare Case Report

Kazanci

Tehli

Türkoğlu³

et al. 2013

J Korean Neurosurg Soc

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Ganglion cysts usually arise from the tissues around the facet joints. It is usually associated with degenerative cahanges in facet joints. Bilateral thoracic ganglion cysts are very rare and there is no previous case that located in bilateral intervertebral foramen compressing the L1 nerve root associated with severe radiculopathy. We report a 53 years old woman who presented with bilateral groin pain and severe numbness. Magnetic resonance imaging revealed bilateral cystic mass in the intervertebral foramen between 12th thoracal and 1st lumbar vertebrae. The cystic lesions were removed after bilateral exposure of Th12-L1 foramens. The result of hystopathology confirmed the diagnosis as ganglion cyst. The ganglion cyst may compromise lumbar dorsal ganglion when it located in the intervertebral foramen. The surgeon should keep this rare entity in their mind for differential diagnosis.

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“…Similarly, abdominal wall nerve entrapment, in which the anterior cutaneous branch of an intercostal nerve is compressed at the site at which it reflexes sharply and pierces the abdominal musculature, can produce pain with similar features to ETAP [ 54 , 59 – 62 ]. Finally, spinal tumors and facet joint cysts have been known to produce similar symptoms to ETAP as a result of compressive forces being placed on the intercostal nerves [ 63 , 64 ].…”

Section: Etiology Of Etapmentioning

confidence: 99%

Exercise-Related Transient Abdominal Pain (ETAP)

Morton

Callister

2014

Sports Med

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Exercise-related transient abdominal pain (ETAP), commonly referred to as ‘stitch’, is an ailment well known in many sporting activities. It is especially prevalent in activities that involve repetitive torso movement with the torso in an extended position, such as running and horse riding. Approximately 70 % of runners report experiencing the pain in the past year and in a single running event approximately one in five participants can be expected to suffer the condition. ETAP is a localized pain that is most common in the lateral aspects of the mid abdomen along the costal border, although it may occur in any region of the abdomen. It may also be related to shoulder tip pain, which is the referred site from tissue innervated by the phrenic nerve. ETAP tends to be sharp or stabbing when severe, and cramping, aching, or pulling when less intense. The condition is exacerbated by the postprandial state, with hypertonic beverages being particularly provocative. ETAP is most common in the young but is unrelated to sex or body type. Well trained athletes are not immune from the condition, although they may experience it less frequently. Several theories have been presented to explain the mechanism responsible for the pain, including ischemia of the diaphragm; stress on the supportive visceral ligaments that attach the abdominal organs to the diaphragm; gastrointestinal ischemia or distension; cramping of the abdominal musculature; ischemic pain resulting from compression of the celiac artery by the median arcuate ligament; aggravation of the spinal nerves; and irritation of the parietal peritoneum. Of these theories, irritation of the parietal peritoneum best explains the features of ETAP; however, further investigations are required. Strategies for managing the pain are largely anecdotal, especially given that its etiology remains to be fully elucidated. Commonly purported prevention strategies include avoiding large volumes of food and beverages for at least 2 hours prior to exercise, especially hypertonic compounds; improving posture, especially in the thoracic region; and supporting the abdominal organs by improving core strength or wearing a supportive broad belt. Techniques for gaining relief from the pain during an episode are equivocal. This article presents a contemporary understanding of ETAP, which historically has received little research attention but over the past 15 years has been more carefully studied.

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Compression of thoracic nerve root by a facet joint synovial cyst: Case report

Cited by 23 publications

References 16 publications

Subaxial cervical synovial cyst presenting with myelopathy

Subaxial cervical synovial cyst presenting with myelopathy

Bilateral Thoracic Ganglion Cyst : A Rare Case Report

Exercise-Related Transient Abdominal Pain (ETAP)

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