Cervical Facet Cyst Causing Progressive Paraplegia: A Case Report and Review of Literature
Journal of Korean Society of Spine Surgery
;
: 29-33, 2011.
Article
in Korean
| WPRIM
| ID: wpr-19869
ABSTRACT
STUDY DESIGN:
A case report and literature review.OBJECTIVES:
To report a patient with a cervical facet cyst causing progressive paraplegia, and to review the clinical features, treatment and outcomes of a cervical facetal cyst. SUMMARY OF LITERATURE REVIEW Extradural intraspinal synovial cysts of the cervical spine are quite rare. They typically occur in the cervical region at the C1-C2 junction or in the space adjacent to the facet joints in the lower cervical spine, and show similar clinical features to the intervertebral disc protrusion. MATERIALS ANDMETHODS:
This article reports a case of a male patient, 64 years old, who presented with a 2 day history of numbness below the nipple and progressive paraplegia. A physical examination at admission revealed a wheelchair ambulatory state due to a motor deficit (motor grade good) below both hip flexors. Magnetic resonance imaging of the cervical spine showed an extradural lesion with a left lateral extension between C7 and T1, causing spinal cord compression. The patient underwent a hemi-laminectomy of C7 and complete cyst excision through the posterior approach. His motor power improved to almost normal.RESULTS:
The patient showed good recovery of myelopathy, and he was able to walk with a cane 3 months after surgery. A 1 year follow-up did not reveal any recurrence or new neurological conditions.CONCLUSION:
Cervical facet cysts are rare lesions that are occasionally signaled by progressive paraplegia but can be treated successfully by a surgical excision.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paraplegia
/
Physical Examination
/
Recurrence
/
Spinal Cord Compression
/
Spinal Cord Diseases
/
Spine
/
Synovial Cyst
/
Wheelchairs
/
Canes
/
Magnetic Resonance Imaging
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Language:
Korean
Journal:
Journal of Korean Society of Spine Surgery
Year:
2011
Type:
Article
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