Lumbar spinal ganglion cyst: A systematic review with case illustration.

Autor: Rana S; Department of Neurosurgery, Los Angeles (UCLA), Los Angeles, CA, United States of America., Pradhan A; Department of Neurosurgery, Los Angeles (UCLA), Los Angeles, CA, United States of America; David Geffen School of Medicine, Los Angeles (UCLA), Los Angeles, CA, United States of America., Casaos J; Department of Neurosurgery, Los Angeles (UCLA), Los Angeles, CA, United States of America., Mozaffari K; Department of Neurosurgery, Los Angeles (UCLA), Los Angeles, CA, United States of America., Ghodrati F; Department of Neurosurgery, Los Angeles (UCLA), Los Angeles, CA, United States of America; David Geffen School of Medicine, Los Angeles (UCLA), Los Angeles, CA, United States of America., Sugimoto B; Achieve Brain & Spine, Santa Monica, CA, United States of America., Yang I; Department of Neurosurgery, Los Angeles (UCLA), Los Angeles, CA, United States of America; Department of Radiation Oncology, Los Angeles (UCLA), Los Angeles, CA, United States of America; Department of Head and Neck Surgery, Los Angeles (UCLA), Los Angeles, CA, United States of America; Jonsson Comprehensive Cancer Center, Los Angeles (UCLA), Los Angeles, CA, United States of America; Los Angeles Biomedical Research Institute, Los Angeles (UCLA), Los Angeles, CA, United States of America; Harbor-UCLA Medical Center, Los Angeles (UCLA), Los Angeles, CA, United States of America; David Geffen School of Medicine, Los Angeles (UCLA), Los Angeles, CA, United States of America. Electronic address: iyang@mednet.ucla.edu., Nagasawa DT; Achieve Brain & Spine, Santa Monica, CA, United States of America.
Jazyk: angličtina
Zdroj: Journal of the neurological sciences [J Neurol Sci] 2023 Feb 15; Vol. 445, pp. 120539. Date of Electronic Publication: 2022 Dec 28.
DOI: 10.1016/j.jns.2022.120539
Abstrakt: Purpose: Ganglion cysts are benign soft tissue lesions found in joints, most commonly wrists. The incidence for juxtafacet cysts, the condition under which spinal ganglion cysts are categorized, is between 0.06% and 5.8%. Spinal ganglion cysts often arise in the most mobile segment of the lumbar spine, L4-L5. Patients commonly present with pain, radiculopathy, and weakness. Conservative management is used, but surgical resection is the most common treatment modality. We aim to review the literature and present a rare case of an L2-L3 situated spinal ganglion cyst, treated with maximal safe resection.
Methods: A systematic review of literature was conducted in accordance with PRISMA guidelines. PubMed, Web of Science, and Cochrane databases were queried using Boolean operators and search terms, "spinal ganglion cyst, lumbar ganglion cyst, and lumbar juxtafacet cyst". Presentation, surgical management, and postoperative course of a 29-year-old male with an L2-L3 spinal ganglion cyst are also described.
Results: The search yielded 824 articles; 23 met inclusion criteria. These papers consisted of 27 spinal ganglion cyst cases with disaggregated patient data. 63.0% of patients were male, and 53.4 years (range: 23-86) was the average age at presentation. Mean symptom duration was 1.9 years (range: 3 days-12 years). 70.4% of patients reported complete symptom resolution. 14.8% of cases noted neural foramen involvement.
Conclusions: Spinal ganglion cysts are benign lesions typically presenting with radiculopathy. Maximal safe resection is an effective treatment modality with low complication rates. Future studies are needed to understand if neural foramen involvement leads to increased symptom severity.
Competing Interests: Declaration of Competing Interest All authors declare that they have no personal, financial, or institutional conflict of interest.
(Copyright © 2022. Published by Elsevier B.V.)
Databáze: MEDLINE
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