Spinal ganglion cyst presenting with radiculopathy: diagnostic challenges and differential.
Journal
Spinal cord series and cases
ISSN: 2058-6124
Titre abrégé: Spinal Cord Ser Cases
Pays: England
ID NLM: 101680856
Informations de publication
Date de publication:
19 01 2021
19 01 2021
Historique:
received:
19
10
2020
accepted:
08
12
2020
revised:
07
12
2020
entrez:
20
1
2021
pubmed:
21
1
2021
medline:
23
11
2021
Statut:
epublish
Résumé
Ganglion cysts are benign soft tissue lesions, usually arising from periarticular connective tissue. These are very rarely reported in the spine, but when seen can cause radiculopathy or myelopathy. A 68-year-old female patient presented with worsening radiculopathy and right foot drop and imaging noted a right L5-S1 foraminal mass. The lesion was gross totally resected. Histological analysis revealed myxoid degeneration and inflammation, without a synovial lining, consistent with ganglion cyst. While uncommon, intra-foraminal ganglion cysts can be distinguished from synovial cysts through imaging and histology and are typically amenable to surgical resection. Greater knowledge and insight about differentiating ganglion versus synovial cyst may prevent resection of facet joints and prevent a fusion procedure.
Identifiants
pubmed: 33468998
doi: 10.1038/s41394-020-00373-3
pii: 10.1038/s41394-020-00373-3
pmc: PMC7815751
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
6Références
J Korean Neurosurg Soc. 2010 Apr;47(4):298-301
pubmed: 20461173
J Neurosurg Spine. 2004 Jul;1(1):52-7
pubmed: 15291021
Am J Otolaryngol. 2002 Nov-Dec;23(6):390-3
pubmed: 12430135
J Neurosurg. 1974 Sep;41(3):372-6
pubmed: 4416019
J Clin Neurosci. 2006 Dec;13(10):1041-5
pubmed: 17113987
Case Rep Neurol Med. 2017;2017:3953641
pubmed: 28831319
Plast Reconstr Surg Glob Open. 2016 Jun 01;4(6):e729
pubmed: 27482477
Acta Neurochir (Wien). 2006 Jan;148(1):47-54; discussion 54
pubmed: 16258839
Br J Neurosurg. 1997 Dec;11(6):520-4
pubmed: 11013623
Insights Imaging. 2016 Apr;7(2):179-86
pubmed: 26911967
World J Orthop. 2017 Sep 18;8(9):697-704
pubmed: 28979853
Spine J. 2009 Apr;9(4):e11-4
pubmed: 18640878
Int J Spine Surg. 2016 Oct 24;10:37
pubmed: 27909658
J Neurosurg. 1999 Jan;90(1 Suppl):141-4
pubmed: 10413141
Insights Imaging. 2011 Jun;2(3):319-333
pubmed: 22347956
Spine (Phila Pa 1976). 2008 Jul 1;33(15):E521-4
pubmed: 18594451
J Bone Joint Surg Am. 1985 Jul;67(6):865-71
pubmed: 4019534
Surg Neurol. 2006 Apr;65(4):385-90, discussion 390
pubmed: 16531204
Surg Neurol. 2001 Dec;56(6):390-5
pubmed: 11755976
Spine J. 2006 May-Jun;6(3):279-81
pubmed: 16651221
J Neurosurg. 1996 Oct;85(4):560-5
pubmed: 8814156
Spine (Phila Pa 1976). 2000 Apr 15;25(8):970-3
pubmed: 10767810
J Neurosurg. 2000 Jul;93(1 Suppl):53-7
pubmed: 10879758
J Korean Neurosurg Soc. 2011 Apr;49(4):237-40
pubmed: 21607185