Case Report: Cervical Synovial Cyst
Journal Title: ODU Medical Journal - Year 2022, Vol 9, Issue 2
Abstract
Cervical synovial cysts are unusual extradural lesions that can cause radiculopathy or spinal cord compression. This case report presents a patient with a cervical synovial cyst and discusses the clinical, radiological, and surgical features of these rare lesions. A 77-year-old male patient presented with a history of progressive gait disturbance, imbalance, and back pain. Cervical magnetic resonance imaging revealed a spherical, extradural lesion adjacent to the C4-C5 facet joints. The radiology department reported an 11-mm synovial cyst obliterating the subarachnoid space and indenting from the right posterolateral. Laminectomy was performed, and an extradural cystic mass originating from the degenerated facet joint was detected at C4-5, compressing the medulla at that level. Since the lesion was adherent to the cord, first the integrity of the lesion wall was disrupted, and then the lesion was excised. The postoperative period was uneventful, and the patient’s neurological condition rapidly improved. It is important to include synovial cysts in the differential diagnosis of any extradural spinal lesions considering that these cysts have important implications for surgical management.
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