Bhatia Vikas, Balaini Neeraj, Singh Paramjeet
Department of Radio-Diagnosis and Imaging, PGIMER, Chandigarh, India.
Department of Neurology, PGIMER, Chandigarh, India.
Indian J Radiol Imaging. 2020 Oct-Dec;30(4):510-512. doi: 10.4103/ijri.IJRI_414_20. Epub 2021 Jan 13.
Perineural cysts are usually described in Lumbosacral region and are uncommonly seen in cervical spine. These are mostly asymptomatic, with only a few cases of symptomatic cervical perineural cysts. No previous case report of perineural cyst causing C8/T1 radiculoneuropathy mimicking clinically as Carpal tunnel syndrome is reported in the literature. We report a case of elderly female who was operated for presumed Carpal tunnel syndrome. However, her symptoms did not improve. The MRI of the patient revealed presence of perineural cysts at the level of C8/T1 exiting nerve root, compressing it and causing the symptoms. We present the clinical, nerve conduction study and radiological presentation of cervical perineural cyst mimicking Carpal tunnel syndrome in this patient.
神经周围囊肿通常见于腰骶部，而在颈椎中较为罕见。这些囊肿大多无症状，仅有少数颈椎神经周围囊肿病例有症状。文献中尚无关于神经周围囊肿导致C8/T1神经根神经病并在临床上模拟腕管综合征的病例报告。我们报告一例老年女性患者，她因疑似腕管综合征接受了手术。然而，她的症状并未改善。患者的MRI显示在C8/T1神经根穿出水平存在神经周围囊肿，压迫神经根并导致症状。我们展示了该患者模拟腕管综合征的颈椎神经周围囊肿的临床、神经传导研究及影像学表现。
