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