寰枢关节单侧小关节囊肿导致颈髓病：一例报告并文献复习
Unilateral facet cyst at the atlantoaxial joint leading to cervical myelopathy: A case report and review of literature.
作者信息
Sharma Ayush, Naseem Atif, Agrawal Harsh, Marathe Nandan, Nares-Lopez Felipe Eduardo, Gaddikeri Manojkumar B
机构信息
Department of Orthopaedics and Spine Surgery, Bharat Ratna Dr. Babasaheb Ambedkar Memorial Hospital, Byculla, Mumbai.
Spine Services, Chaitanya Spine Clinic, Cardinal Gracias Memorial Hospital, Vasai, Mumbai, Maharashtra, India.
出版信息
Surg Neurol Int. 2022 Dec 2;13:557. doi: 10.25259/SNI_900_2022. eCollection 2022.
BACKGROUND
Spinal synovial cysts are rare in the cervical spine where they may cause myeloradiculopathy. Contrast MR studies help differentiate these from other lesions. The optimal treatment is often surgical removal.
CASE DESCRIPTION
A 47-year-old male presented with axial neck pain, numbness, and left-hand paresthesia. When the MR study showed dorsolateral cord compression due to a left-sided C1-C2 facet cyst, he underwent a unilateral decompression/fusion. Adequate cyst removal/excision was documented on a postoperative MR performed 2 weeks and 3 months postoperatively.
CONCLUSION
A 47-year-old male presented with myelopathy attributed to an MR-documented dorsolateral C1/ C2 facet cyst. Following excision/decompression of the cyst and posterior fusion, the patient's symptoms/signs resolved.
背景
脊柱滑膜囊肿在颈椎中较为罕见，可导致脊髓神经根病。对比增强磁共振成像研究有助于将其与其他病变区分开来。最佳治疗方法通常是手术切除。
病例描述
一名47岁男性出现颈部轴性疼痛、麻木和左手感觉异常。磁共振成像研究显示左侧C1-C2关节突囊肿导致背外侧脊髓受压，遂接受了单侧减压/融合手术。术后2周和3个月进行的磁共振成像检查记录了囊肿的充分切除情况。
结论
一名47岁男性因磁共振成像记录的背外侧C1/C2关节突囊肿出现脊髓病。在囊肿切除/减压及后路融合术后，患者的症状和体征消失。
Zotero 插件