Hemorrhagic Synovial Cyst Associated with Rheumatoid Atlantoaxial Subluxation
Korean Journal of Spine
;
: 85-87, 2013.
Artículo
en Inglés
| WPRIM
| ID: wpr-222058
ABSTRACT
Synovial cyst on prevertebral space of C1-2 joint is rare but may be associated hemorrhagic event. We describe a case of a 72-year-old woman who presented with sudden severe headache in her left occipital area with dyspnea. She had rheumatoid arthritis for 14-years. Large hemorrhagic cystic mass was seen around prevertebral space of the atlantoaxial joint on the left side on cervical MRI (magnetic resonance image) and it obstructed the nasopharyngeal cavity. Aspiration of the cystic lesion was performed via transoral approach, followed by posterior occipito-cervical fusion. The specimen was xanthochromic, suggesting old hemorrhage. The patient was tolerable on her postoperative course and showed good respiration and relieved headache. We suggest that repeated microtrauma due to atalantoaxial subluxation associated with rheumatoid arthritis as a main cause of hemorrhagic event on the cyst.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Artritis Reumatoide
/
Respiración
/
Articulación Atlantoaxoidea
/
Quiste Sinovial
/
Disnea
/
Cefalea
/
Hemorragia
/
Articulaciones
Límite:
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Korean Journal of Spine
Año:
2013
Tipo del documento:
Artículo
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