Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Eustacchio, S; Trummer, M; Unger, F; Flaschka, G.
Intraspinal synovial cyst at the craniocervical junction.
Zentralbl Neurochir. 2003; 64(2):86-89
Doi: 10.1055/s-2003-40378
(- Case Report)
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Eustacchio Sandro
- Co-Autor*innen der Med Uni Graz
- Trummer Martin
- Unger Frank
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- Abstract:
- A cystic lesion adjacent to the dens with compression of the lower portion of the medulla oblongata was found on MRI in a 75-year-old male patient with a 2-month history of occipital pain and gait disturbance. Clinically, the patient showed mild tetraparesis, signs of spinal ataxia and symmetrical hyperreflexia. Following subtotal removal of the cyst via left-sided suboccipital craniotomy and left-sided hemilaminectomy of C1 the lesion was classified as synovial cyst on histopathological examination. Postoperatively, the quadriparesis almost completely subsided and the patient is currently doing well, 33 months after surgery. Synovial or ganglion cysts adjacent to the atlantoaxial articulation with ventral compression of the cervicomedullar cord represent rare surgical or radiological entities. Atlantoaxial synovial cysts have no typical radiographic appearance or specific neurological symptoms so that they are frequently misdiagnosed as intraspinal- or skull base tumour, rheumatoid lesion or ectatic vertebral artery. Since no ensuing complications or recurrences have been encountered in cases of incompletely removed cysts the less invasive operative approaches should be used to avoid destabilisation and subsequent additional surgical procedures.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Cervical Vertebrae - pathology
- Craniotomy - pathology
- Gait Disorders, Neurologic - etiology
- Humans - etiology
- Laminectomy - etiology
- Magnetic Resonance Imaging - etiology
- Male - etiology
- Neurosurgical Procedures - etiology
- Pain - etiology
- Quadriplegia - epidemiology
- Spinal Cord Diseases - complications
- Synovial Cyst - complications
- Find related publications in this database (Keywords)
- synovial cyst
- craniocervical junction
- myelopathy