Spinal ganglion cyst presenting with radiculopathy: diagnostic challenges and differential
| Autor: | Rick I. Feld, David Stolzenberg, Mark T. Curtis, Garrett Largoza, James S. Harrop, Christopher Elia, Caio M. Matias, Lohit Velagapudi |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
030506 rehabilitation
Pathology medicine.medical_specialty Connective tissue Case Report Dermatology Lesion 03 medical and health sciences Myelopathy 0302 clinical medicine Ganglia Spinal Humans Medicine Radiculopathy Aged Ganglion Cysts business.industry Soft tissue Histology medicine.disease Right foot drop Spine Ganglion Ganglion cyst medicine.anatomical_structure Neurology Synovial Cyst Female medicine.symptom 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Spinal Cord Ser Cases |
| ISSN: | 2058-6124 |
| DOI: | 10.1038/s41394-020-00373-3 |
| Popis: | INTRODUCTION: Ganglion cysts are benign soft tissue lesions, usually arising from periarticular connective tissue. These are very rarely reported in the spine, but when seen can cause radiculopathy or myelopathy. CASE PRESENTATION: A 68-year-old female patient presented with worsening radiculopathy and right foot drop and imaging noted a right L5–S1 foraminal mass. The lesion was gross totally resected. Histological analysis revealed myxoid degeneration and inflammation, without a synovial lining, consistent with ganglion cyst. DISCUSSION: While uncommon, intra-foraminal ganglion cysts can be distinguished from synovial cysts through imaging and histology and are typically amenable to surgical resection. Greater knowledge and insight about differentiating ganglion versus synovial cyst may prevent resection of facet joints and prevent a fusion procedure. |
| Databáze: | OpenAIRE |
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