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Intraspinal synovial cysts: a retrospective study.
Neurol India ; 2006 Mar; 54(1): 38-41
Artigo em Inglês | IMSEAR | ID: sea-120329
ABSTRACT

BACKGROUND:

We report the clinical presentation, radiographic studies, intraoperative findings, histopathological analysis, and post-treatment outcome in 26 patients diagnosed with spinal synovial cysts (SSCs).

AIMS:

To describe the clinical presentation, radiographic studies, operative findings, and postoperative follow-up in 26 patients with SSCs. SETTINGS AND

DESIGN:

The study was retrospective in design, involving chart review. Individual patient data was tabulated and patterns were recognized. MATERIALS AND

METHODS:

The charts for 26 patients who underwent surgical extirpation of SSC between April 1993 and October 2002 were retrospectively reviewed. Specifically, initial clinical presentation, pertinent radiographs (X-rays, magnetic resonance imaging, computed tomography), intraoperative findings, histopathology, and postoperative follow-up were noted. Statistical Analysis Used Patient data was tabulated and analyzed for patterns in demographics, symptoms and histopathology.

RESULTS:

SSCs were more common in females than males (179 ratio). Presenting symptoms were back pain with radiculopathy in 13 (50%), radicular pain in the absence of back pain in 10 (38%), and back pain without radicular pain in three (11%). In addition, 17 patients (65%) had sensory deficit, and 9 (35%) had motor deficit. Most SSCs occurred at the lumbar (19/26) or lumbosacral (5/26) regions, with only 2 (2/26) in the thoracic region. One patient had bilateral SSC at the L4-5 level. Intraoperatively, each cyst was located adjacent to a degenerated facet joint. These lesions could grossly be identified intraoperatively and histopathological confirmation was achieved in all the cases.

CONCLUSIONS:

SSCs are important lesions to consider in the differential diagnosis of lumbar epidural masses and surgical resection leads to significant improvement in the majority of cases.
Assuntos
Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Doenças da Medula Espinal / Cisto Sinovial / Humanos / Imageamento por Ressonância Magnética / Estudos Retrospectivos / Resultado do Tratamento Tipo de estudo: Estudo observacional / Estudo prognóstico Idioma: Inglês Revista: Neurol India Ano de publicação: 2006 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Doenças da Medula Espinal / Cisto Sinovial / Humanos / Imageamento por Ressonância Magnética / Estudos Retrospectivos / Resultado do Tratamento Tipo de estudo: Estudo observacional / Estudo prognóstico Idioma: Inglês Revista: Neurol India Ano de publicação: 2006 Tipo de documento: Artigo