Intraspinal synovial cysts are usually located in the lower lumbar spine in association with osteoarthritis of the facet joints, and they are most accurately diagnosed by using CT. Surgical removal of intraspinal synovial cysts implicated in the development of radiculopathy has resulted in symptomatic relief. A nonoperative method of treatment consists of CT-guided needle placement into the facet joint adjacent to the cyst, followed by injection of contrast material to show communication between the joint and the cyst and injection of corticosteroids. Three outpatients were treated in this fashion without complications. Complete relief of symptoms was achieved in two cases and partial relief was achieved in one. Follow-up CT scans performed 2 months after the procedure showed no change in the size of the cysts in two of the patients. A 6-month follow-up CT scan in the third patient, however, showed significant improvement in cyst size. These preliminary results suggest that this procedure is an alternative to surgical management of intraspinal synovial cysts.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.2214/ajr.149.1.105 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
MRI Manifestations of Primary Intraspinal Synovial Sarcoma: A Case Report.
J Belg Soc Radiol
September 2023
Affiliated Hospital of North Sichuan Medical College, China.
Unlabelled: Synovial sarcomas represent a highly malignant form of mesenchymal tumors. The incidence of synovial sarcomas in the spinal canal is exceptionally rare and has been scarcely reported.
Teaching Point: Comprehending the magnetic resonance imaging manifestations of intraspinal synovial sarcoma is important to prevent misdiagnosis.
A rare gas-containing lumbar synovial cyst treated by percutaneous transforaminal endoscopic cystectomy: A case report and literature review.
Front Surg
March 2023
Department of Spine Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
Spinal synovial cysts are rare entities for which standard surgical strategies are inconsistent. Here, we present an uncommon intraspinal gas-containing synovial cyst treated by percutaneous transforaminal endoscopic cystectomy. A 52-year-old man presented with radicular pain and intermittent claudication that had persisted for one month.
View Article and Find Full Text PDFSurgically managed symptomatic intraspinal lumbar facet synovial cyst outcome of surgical treatment with resection and instrumented posterolateral fusion, a case series.
BMC Surg
July 2022
Universidad de los Andes, Santiago, Chile.
Background: There is controversy regarding the treatment of symptomatic synovial cysts, specifically, the need for a concomitant fusion when surgical resection of the synovial cysts is required. We present a retrospective review of a series of patients treated for symptomatic synovial cysts of the lumbar region during the last 20 years by a single surgeon, analyzing the current available literature.
Methods: Retrospective review.
Reliability of preoperative MRI findings in patients with lumbar spinal stenosis.
BMC Musculoskelet Disord
January 2022
Department of Diagnostic Imaging, Akershus University Hospital, Lørenskog, Norway.
Background: Magnetic Resonance Imaging (MRI) is an important tool in preoperative evaluation of patients with lumbar spinal stenosis (LSS). Reported reliability of various MRI findings in LSS varies from fair to excellent. There are inconsistencies in the evaluated parameters and the methodology of the studies.
View Article and Find Full Text PDFIntraspinal extradural gout tophus in the lumbar vertebral canal: Case reports.
Medicine (Baltimore)
January 2022
Department of Spinal Surgery, Quanzhou Orthopedic-Traumatological Hospital, Fujian University of Traditional Chinese Medicine, Quanzhou, Fujian Province, China.
Rationale: Intraspinal gout tophus in the lumbar vertebral canal associated with gouty arthritis is rare. We present 2 cases with the first manifestations of a sequestrated intervertebral disc and an extradural tumor, and histopathologically proven to be gouty deposits in the lumbar vertebral canal.
Patient Concerns: The 2 patients presented with typical radiculopathy symptoms and a positive straight leg raise.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!