Kazanci Burak, Tehli Ozkan, Türkoglu Erhan, Guclu Bulent
Neurosurgery Clinic, Ministry of Health, Sevket Yilmaz Education and Research Hospital, Bursa, Turkey.
J Korean Neurosurg Soc. 2013 May;53(5):309-11. doi: 10.3340/jkns.2013.53.5.309. Epub 2013 May 31.
Ganglion cysts usually arise from the tissues around the facet joints. It is usually associated with degenerative cahanges in facet joints. Bilateral thoracic ganglion cysts are very rare and there is no previous case that located in bilateral intervertebral foramen compressing the L1 nerve root associated with severe radiculopathy. We report a 53 years old woman who presented with bilateral groin pain and severe numbness. Magnetic resonance imaging revealed bilateral cystic mass in the intervertebral foramen between 12th thoracal and 1st lumbar vertebrae. The cystic lesions were removed after bilateral exposure of Th12-L1 foramens. The result of hystopathology confirmed the diagnosis as ganglion cyst. The ganglion cyst may compromise lumbar dorsal ganglion when it located in the intervertebral foramen. The surgeon should keep this rare entity in their mind for differential diagnosis.
腱鞘囊肿通常起源于小关节周围的组织。它通常与小关节的退行性改变有关。双侧胸段腱鞘囊肿非常罕见，此前没有位于双侧椎间孔并压迫L1神经根且伴有严重神经根病的病例。我们报告一名53岁女性，她出现双侧腹股沟疼痛和严重麻木。磁共振成像显示第12胸椎和第1腰椎之间的椎间孔有双侧囊性肿块。在双侧暴露胸12 -腰1椎间孔后切除囊性病变。组织病理学结果证实诊断为腱鞘囊肿。当腱鞘囊肿位于椎间孔时，可能会压迫腰背神经节。外科医生应牢记这一罕见情况以进行鉴别诊断。
