ABSTRACT
Lumbar synovial cysts are an uncommon cause of back pain and radiculopathy, usually manifesting with gradual onset of symptoms, secondary to involvement of the spinal canal. Rarely, intracyst hemorrhage occurs, and may acutely present as radicular - or even spinal cord - compression syndrome. Synovial cysts are generally associated with degenerative facets, although the pathogenesis has not been entirely established. We report a case of bleeding complication in a synovial cyst at L2-L3, adjacent to the right interfacet joint, causing acute pain and radiculopathy in a patient on anticoagulation therapy who required surgical resection.
Cistos sinoviais da coluna lombar são uma causa incomum de dor na coluna e radiculopatia, geralmente com evolução gradual dos sintomas, que são secundários ao comprometimento do canal vertebral. Raramente, há hemorragia intracística, que pode se manifestar de forma aguda com síndrome compressiva radicular ou mesmo medular. Habitualmente, os cistos sinoviais associam-se a doença degenerativa facetária, embora a patogênese não esteja completamente estabelecida. Relatamos aqui um caso em que uma complicação hemorrágica em um cisto sinovial no nível L2-L3, adjacente à interfacetária direita, causou dor lombar e radiculopatia em um paciente em terapia anticoagulante, sendo necessária a ressecção cirúrgica.
Subject(s)
Aged , Humans , Male , Back Pain/etiology , Hemorrhage/complications , Radiculopathy/etiology , Spinal Diseases/complications , Synovial Cyst/complications , Back Pain/surgery , Hemorrhage/surgery , Magnetic Resonance Imaging , Radiculopathy/surgery , Spinal Diseases/surgery , Synovial Cyst/surgery , Treatment OutcomeABSTRACT
Synovial cysts are frequently seen and are most commonly seen at the back of the knee where it is known as popliteal cyst. But synovial cyst with fungal granuloma is rather rare. This case report illustrates an occurrence of synovial cyst with fungal granuloma, in a 40 years old male at the dorsal aspect of the right ankle joint. Clinical examination revealed lesion about 4x4x4cms in size over the dorsal aspect of the right ankle joint. Simple excision of the lesion was done with the clinical diagnosis of lipoma. Microscopic examination revealed synovial lining hyperplasia and subintimal tissue showed granulomatous reaction with foreign body giant cells and black colored fungal colonies. Patients did not attend further, so follow up was not available.
Subject(s)
Adult , Biopsy, Fine-Needle , Fungi/microbiology , Granuloma/cytology , Granuloma/diagnosis , Granuloma/epidemiology , Granuloma/etiology , Granuloma/microbiology , Humans , Male , Synovial Cyst/complications , Synovial Cyst/cytology , Synovial Cyst/diagnosis , Synovial Cyst/epidemiology , Synovial Cyst/microbiologyABSTRACT
A trombose venosa profunda (TVP) é uma freqüente causa de edema unilateral de membros inferiores. O cisto sinovial da articulação coxofemoral pode ser uma causa rara desse sintoma e deve ser considerado no diagnóstico diferencial. Apresentamos um caso clínico em que o eco-Doppler colorido revelou a presença de compressão extrínseca da veia ilíaca externa. A ressonância magnética demonstrou tratar-se de cisto sinovial como fator etiológico, confirmado pela ressecção cirúrgica.
Deep venous thrombosis frequently results in unilateral lower limb edema. A synovial cyst in the hip joint may be a rare cause of this symptom and should be considered in the differential diagnosis. We report on a case in which color-flow Doppler ultrasonography showed presence of extrinsic compression of the external iliac vein. Magnetic resonance imaging showed a synovial cyst as etiologic factor, confirmed by surgical excision.
Subject(s)
Humans , Female , Aged , Synovial Cyst/classification , Synovial Cyst/complications , Venous Thrombosis/complications , Venous Thrombosis/diagnosis , Echocardiography, Doppler, Color , Lower ExtremityABSTRACT
Spinal cord compressing syndrome due to synovial cyst (SC) of the thoracic spine is a rare clinic condition. We report a case of SC located in the thoracic spine causing spastic paraparesis in a 14 year-old female patient. The SC was removed thoroughly by laminectomy. The patient had an excellent recovery. The etiological and therapeutic aspects are discussed.
Síndrome de compressão medular causada por cisto sinovial (CS) da coluna torácica é patologia rara e pouco descrita na literatura. Descrevemos um caso de CS da coluna torácica causando paraparesia espástica em uma paciente de 14 anos de idade. O cisto foi removido através de laminectomia e a paciente apresentou uma excelente recuperação. Discutimos os aspectos etiológicos e terapêuticos.
Subject(s)
Adolescent , Female , Humans , Spinal Cord Compression/etiology , Synovial Cyst/complications , Laminectomy , Magnetic Resonance Imaging , Spinal Cord Compression/diagnosis , Spinal Cord Compression/surgery , Synovial Cyst/diagnosis , Synovial Cyst/surgery , Treatment Outcome , Thoracic Vertebrae/surgeryABSTRACT
The authors describe a case of an 80-year-old man with a gradual weakness of the lower extremities not linked to any known traumatic episode over the 2 weeks before admission. CT scan and MRI of the spine revealed a cystic formation, measuring about 1cm in diameter, at C7-T1 at the left posterolateral site at the level of the articular facet. During surgery, the mass appeared to be in the ligamentum flavum at the level of the articular facet and was in contact with the dura mater. After the removal of the mass, there was an immediate and significant improvement of the patient's symptoms. Histopathologic examination showed the cyst to be composed of nonspecific degenerative fibrous tissue with mild inflammatory change and confirmed the cyst as a synovial cyst. Synovial cyst in the cervical region is a very rare lesion causing myelopathy. Surgical removal of the cyst and decompression of the spinal cord results in good neurological recovery.
Subject(s)
Aged , Aged, 80 and over , Humans , Male , Cervical Vertebrae , Decompression, Surgical , Magnetic Resonance Imaging , Spinal Cord Compression/etiology , Synovial Cyst/complications , Tomography, X-Ray ComputedABSTRACT
Los quistes sinoviales (QS) de columna lumbar son lesiones infrecuentes pero deben considerarse frente a casos de compresión radicular. Existe controversia acerca de su patogenia y se describen múltiples opciones terapéuticas. Se presenta una serie clínica retrospectiva de siete pacientes tratados en un período de ocho años. En general fueron pacientes mayores de 60 años, con un cuadro de dolor radicular unilateral, que se presentó 3 meses antes del diagnótico. Sólo dos pacientes tuvieron déficit de la raíz correspodiente. Todos los QS se localizaron en el nivel L4-L5, realizándose hemilaminectomía y resección total del quiste. Seis casos tuvieron desaparición completa del dolor. Un paciente presentó sólo alivio moderado, constatándose espondilolistesis, por lo que fue sometido posteriormente a una fusión vertebral, mejorando su sintomatología. La cirugía es un tratamiento seguro y eficaz para la resolución de esta patología. La literatura acerca de esta importante patología fue revisada
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Spinal Cord Compression/etiology , Lumbar Vertebrae , Radiculopathy/etiology , Synovial Cyst/complications , Magnetic Resonance Imaging , Synovial Cyst/surgeryABSTRACT
Os autores apresentam um caso de paralisia do nervo fibular comum provocado por cisto sinovial e fazem uma breve revisäo da literatura.
Subject(s)
Humans , Male , Adult , Peripheral Nervous System Diseases/etiology , Paralysis/etiology , Peroneal Nerve , Synovial Cyst/complications , Peripheral Nervous System Diseases/surgery , Peripheral Nervous System Diseases/diagnosis , Paralysis/diagnosis , Paralysis/surgery , Peroneal Nerve/surgery , Synovial Cyst/diagnosis , Synovial Cyst/surgeryABSTRACT
Os autores relatam um caso raramente descrito na literatura ortopédica de compressao do nervo supra-escapular ocasionado por um cisto sinovial na regiao da fossa e incisura supra-escapular, simulando um quadro inicial de ombro doloroso.
Subject(s)
Humans , Female , Adult , Scapula/innervation , Nerve Compression Syndromes/etiology , Synovial Cyst/complications , Nerve Compression SyndromesABSTRACT
Os autores relatam um caso de síndrome do túnel do carpo em uma paciente do sexo feminino, de 43 anos, com quadros clínico e eletromiográfico característicos. Trata-se de um cisto sinovial intracanal, similar aos reportados por Brooks (1952), Phalen (1966 e Harvey (1981
Subject(s)
Carpal Tunnel Syndrome/etiology , Synovial Cyst/complications , Carpal Tunnel Syndrome/surgery , Synovial Cyst/surgeryABSTRACT
Relatamos o caso de uma paciente do sexo feminino, de 57 anos, que se apresentou com quadro clínico de compressäo radicular L5-S1 a direita. A tomografia computadorizada da coluna lombossacra mostrou imagem sugestiva de cisto sinovial bilateral em L5-S1, confirmada pela hemilaminectomia bilateral. A revisäo da literatura mostrou tratar-se de patologia rara, ainda sem descriçäo na literatura nacional
Subject(s)
Middle Aged , Humans , Female , Nerve Compression Syndromes/etiology , Spinal Nerve Roots , Synovial Cyst/complications , Diagnosis, Differential , Lumbosacral Region , Synovial Cyst/diagnosis , Synovial Cyst/surgery , Tomography, X-Ray ComputedABSTRACT
Um caso de compressäo do nervo mediano no terço distal do antebraço causado por cisto sinovial gigante originado no cotovelo, com evoluçäo de 3 meses, em paciente portador de artrite reumatóide, é apresentado. Näo há recidiva após 3 anos de evoluçäo, e a artrite reumatóide (AR) passa por período de remitência. As teorias da formaçäo cística e os mecanismos de troca líquida entre a articulaçäo e o cisto säo descritos