Cervical Synovial cyst: Case report and review of literature

Department of Neurosurgery, Istituto IRCCS Galeazzi, Via R Galeazzi 4, 20100 Milan, Italy.
European Spine Journal (Impact Factor: 2.07). 08/2009; 19 Suppl 2(Suppl 2):S100-2. DOI: 10.1007/s00586-009-1094-6
Source: PubMed


Synovial cysts, typically observed in the lumbar spine eventually associated with degenerative changes of the facet joints, only rarely present in the cervical spine. Up to now, only 28 symptomatic cases are described in literature. Typically, the treatment of these cases is a decompressive laminectomy followed by complete surgical removal of the lesion. The authors present the case of an 84-year-old man with a symptomatic synovial cyst involving the space between C7 and T1.

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Available from: Francesco Costa, Mar 31, 2015
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    • "After surgery, patients usually recover well and show pain relief quickly [1] [7]. We found no report regarding a synovial cyst recurrence in the cervical area [6] [11]. "
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    ABSTRACT: Introduction: Synovial cyst in the cervical spine is a very rare pathology that develops from the facet joint. When a synovial cyst emerges into the surrounding space, it can compress the nervous tissue and cause neurological symptoms. In the cervical area there is additionally the risk of spinal cord compression comparing to the more common presentation of synovial cysts in the lumbar spine. Presentation of case: Here, a cervical synovial cysts from the left facet joint grew into the spinal canal and compressed the C8 nerve root which led to root compressing symptoms. Interestingly we found this synovial cyst with congenital fusion. We identified only nine similar cases in the literature. The cyst was removed surgically and the patient discharged without complications. Discussion: Numerous theories have been established to explain the pathogenesis of synovial cyst. Biomechanical alterations of the spine play a significant role in the development of synovial cyst. However, the etiology is still unclear. Conclusion: Surgical treatment should be considered in cervical synovial cysts with neurologic deficit or with cord compression or when the conservative treatment is ineffective.
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    ABSTRACT: Peer Reviewed
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