Publication: Spinal synovial cyst presenting with radiculopathy
Date
2011
Authors
Article Type
Case Report
Journal Title
Journal ISSN
ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987
Volume Title
Pages
Pages: 30 - 33
Publisher
Institute of Medicine
Abstract
Abstract
Synovial cyst (SC) is one of the relatively rarer spinal pathology which can lead to radicular feature. The most common differential diagnosis is herniation of intervertebral disc (HID).
A 34 year-old male patient presented to orthopedic surgeon with the history of right thigh pain on and off. The case was then referred to us. On examination, he had mild hypoesthesia over fronto lateral aspect of right thigh and knee jerk wasslightly diminished. Repeat magnetic resonance imaging (MRI) of lumbosacral spine was done as previous image quality was poor.
New MRI suggested cystic lesion at L2-3 on right side suggesting most likely synovial cyst.
With midline incision, right hemilaminotomy was done and thecal sac and nerve root was exposed. When thecal sac and nerve root was retracted, cystic lesion was very clearly seen arising from facet joint. Complete excision was done and sent for histological evaluation which showed features of synovial cyst.
Post operatively, thigh pain disappeared and patient went have to normal work after 1 month of surgery.
The main purpose of this article is to emphasize that synovial cyst is one of the possible, though rare, etiology of radiculopathy. Though it occurs in older age group it can be found in younger people also as in our case. Surgical exploration and radical resection is the way to cure it.
Keywords: synovial cyst, lumbar spine, radiculopathy, surgical resection
Description
P Shrestha
Department of neurosurgery, Norvic International Hospital, Thapathali, Kathmandu
H Malla
Department of neurosurgery, Norvic International Hospital, Thapathali, Kathmandu
B. Pant
Department of neurosurgery, Norvic International Hospital, Thapathali, Kathmandu
Keywords
synovial cyst, lumbar spine, radiculopathy, surgical resection
Identifier
https://doi.org/10.59779/jiomnepal.445