Cervical Facet Cyst Causing Progressive Paraplegia: A Case Report and Review of Literature
Journal of Korean Society of Spine Surgery
;
: 29-33, 2011.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Paraplegia
/
Exame Físico
/
Recidiva
/
Compressão da Medula Espinal
/
Doenças da Medula Espinal
/
Coluna Vertebral
/
Cisto Sinovial
/
Cadeiras de Rodas
/
Bengala
/
Imageamento por Ressonância Magnética
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of Korean Society of Spine Surgery
Ano de publicação:
2011
Tipo de documento:
Artigo
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