Lumbar Intraspinal Synovial and Ganglion Cysts (Facet Cysts)

Hsu, Ken Y.; Zucherman, James; Shea, William J.; Jeffrey, Robert A.

doi:10.1097/00007632-199501000-00015

Cited by 254 publications

(228 citation statements)

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“…MRI, in some cases of synovial cysts, reveals a demonstrable communication with the facet joint with enhancement of the synovial cyst wall and of the adjacent facet joint [24]; juxta-articular cysts often have a calcified rim while ligamentum flavum cysts don't. Differential diagnosis of intraspinal extradural mass lesions includes ligamentum flavum cyst, juxta-articular cysts (ganglion and synovial cysts), arachnoid cyst, perineural cyst and dermoid cyst [8,9,12,15,17,19]. The nomenclature of cysts in the spinal canal is somewhat unclear in the literature.…”

Section: Discussionmentioning

confidence: 99%

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Cervical cyst of the ligamentum flavum and C7-T1 subluxation: case report

et al. 2005

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IntroductionCysts of the ligamentum flavum are rare lesions that are most frequently located in the lumbar spine [1 -4, 21, 23], the cervical localization is unusual [11]. Most of the intraspinal degenerative cysts are juxta-articular (synovial and ganglion) cysts, and have a similar radiologic appearance [8,12,15,16,20]. We report the unique neuroimaging and pathological findings obtained in a patient with a cyst of the ligamentum flavum in the cervical region associated with a C7-T1 subluxation. This report, to our information, is the first of its kind. Case reportThis 66-year-old woman presented with a 1-year history of progressive gait disturbance with lower extremity fatigue. Clinical examination revealed marked spastic paraparesis and difficulty in performing fine motor tasks with the left hand as well as loss of penmanship of the right hand. MRI revealed a T2-hyperintense cystic lesion with a hypointense tail in the anterolateral part of the left lamina of C7 (Fig. 1a), associated with a C7-T1 anterolisthesis (Fig. 1b). The patient underwent a C7-T1 hemilaminectomy and a hypertrophied, partially calcified ligamentum was resected. A round, yellowish cyst of about 1 cm in diameter filled with gelatinous fluid was found in the internal aspect of the ligamentum flavum; it was adherent to the duramater but dissection was achieved easily. There was no communication between the lumen of the cyst and the joint capsule. Pathological examination of the cyst revealed myxoid and pseudocystic degeneration of the ligamentum flavum without a synovial layer (Fig. 2). A postoperative dynamic X-ray revealed no spinal instability with resolution of the cervicothoracic subluxation. The patient's myelopathy Abstract A patient with progressive gait disturbance resulting from a cyst of the cervical ligamentum flavum associated with C7-T1 listhesis is reported. Surgical removal of the cyst improved the patient's myelopathy. Intraspinal degenerative cysts are preferentially located in the lumbar region:unusual is the cervical localization. Differential diagnosis includes ligamentum flavum cyst, synovial and ganglion cysts. Association between degenerative intraspinal cysts and listhesis is discussed. To our knowledge, this is the first case of cyst of the ligamentum flavum associated with cervical subluxation.

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Section: Discussionmentioning

confidence: 99%

“…Most of the intraspinal degenerative cysts are juxta-articular (synovial and ganglion) cysts, and have a similar radiologic appearance [8,12,15,16,20]. We report the unique neuroimaging and pathological findings obtained in a patient with a cyst of the ligamentum flavum in the cervical region associated with a C7-T1 subluxation.…”

Section: Introductionmentioning

confidence: 99%

Cervical cyst of the ligamentum flavum and C7-T1 subluxation: case report

et al. 2005

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“…From the findings mentioned above, it is clear that people with high risk of discal cyst disease are young (3rd and 4th decade), physically active males, and from Asian race [1,2,7,15,19,[23][24][25]. Pathology and pathogenesis Histologically, the cyst wall appears predominately of dense fibrous connective tissue, with no epithelial lining.…”

Section: Risk Factorsmentioning

confidence: 99%

Discal cysts of the lumbar spine: report of five cases and review of the literature

et al. 2010

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Discal cysts are rare causes of low back pain and radiculopathy. Only few reports in the literature describe these pathologies. In this article, the authors report five cases (3 males and 2 females) of lumbar discal cysts treated surgically by microdiscectomy. These patients were admitted with a history of back pain and/or sciatalgia. Magnetic resonance imaging of the lumbar spine of all patients revealed lumbar discal cysts, causing compression to the spinal dura and roots. All patients were treated by partial hemilaminectomy and microscopic cyst resection. Postoperatively, the complaints showed improvement, and the patients were discharged with no complications. The cases of lumbar discal cysts are described in the literature as individual case reports, therefore; the authors performed a wide systemic review of all these cases published in PubMed and MedLine, including the patients in the present report. The data of all patients were analyzed to obtain statistically based estimated information about the incidence, the epidemiology, the natural history and the optimum management of these lesions.

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“…There are many kinds of cystic lesions within the spinal canal, including synovial cysts, arachnoid cysts, perineural cysts, cysts of the ligament flavum, ganglion cysts, and discal cysts [4,5,7,9,11,13,15,16]. In contrast to other cysts, which usually develop in the connective tissue around the peripheral joint and tendon, a discal cyst is not common and has rarely been reported in the literature [1-3, 6, 8, 10, 12, 14].…”

Section: Discussionmentioning

confidence: 99%

Removal of discal cyst using percutaneous working channel endoscope via transforaminal route

Kim¹,

Choi²,

Lee³

et al. 2008

Eur Spine J

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Discal cyst is a very rare lesion that can cause refractory low back pain and radiating leg pain. Although there are some reports to remove this lesion, there has been no report of discal cyst removed by percutaneous endoscopic transforaminal approach. Two young patients manifested left gluteal and leg pain due to a discal cyst at L5-S1 level and L4-5 level, respectively. Percutaneous endoscopic transforaminal approach was performed to remove the discal cyst, achieving complete decompression of the nerve root. The symptom was relieved and the patient was discharged the next day. Percutaneous endoscopic transforaminal approach could be a good alternative option in selected cases for the treatment of lumbar discal cyst.

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Lumbar Intraspinal Synovial and Ganglion Cysts (Facet Cysts)

Cited by 254 publications

References 0 publications

Cervical cyst of the ligamentum flavum and C7-T1 subluxation: case report

Cervical cyst of the ligamentum flavum and C7-T1 subluxation: case report

Discal cysts of the lumbar spine: report of five cases and review of the literature

Removal of discal cyst using percutaneous working channel endoscope via transforaminal route

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