Peng Tzu-Chiang, Liu Ping-Chuan, Chang Chih-Chang, Chang Hsuan-Kan, Ko Chin-Chu, Tu Tsung-Hsi, Fay Li-Yu, Wu Jau-Ching, Huang Wen-Cheng, Kuo Chao-Hung
Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan; School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Department of Neurosurgery, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan; School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Department of Biomedical Engineering, National Yang Ming Chiao Tung University, Taipei, Taiwan.
World Neurosurg. 2025 Jan;193:35-45. doi: 10.1016/j.wneu.2024.09.135. Epub 2024 Oct 28.
Cervical synovial cyst (CSC) is a rare condition that often leads patients to seek medical attention due to cervical stenosis symptoms. There's ongoing debate about the best management strategy. To address this, a review of literature from the past 20 years (2003-2023) was conducted using keywords like "cervical synovial cyst," "cervical ganglion cyst," and "cervical juxtafacet cyst." Data on patient demographics, imaging characteristics, treatment methods, and clinical outcomes were collected. A total of 79 patients were diagnosed with CSCs, averaging 62.3 years old, with a slight male predominance (45 males, 34 females). Most cysts were located at the C1-2 and C7-T1 joints, with myelopathy being the most common symptom. Subaxial CSCs had a higher incidence of radiculopathy compared to axial CSCs. Most cases were treated surgically, with decompression performed with or without fusion. Patients generally reported symptom improvement regardless of the surgical method. Overall, surgical intervention effectively improved neurological symptoms associated with CSCs.
颈椎滑膜囊肿（CSC）是一种罕见病症，常因颈椎管狭窄症状导致患者就医。关于最佳治疗策略的争论仍在继续。为解决这一问题，我们使用了“颈椎滑膜囊肿”、“颈神经节囊肿”和“颈椎关节突旁囊肿”等关键词，对过去20年（2003 - 2023年）的文献进行了综述。收集了患者人口统计学、影像学特征、治疗方法和临床结果的数据。共有79例患者被诊断为颈椎滑膜囊肿，平均年龄62.3岁，男性略占优势（45例男性，34例女性）。大多数囊肿位于C1 - 2和C7 - T1关节，脊髓病是最常见的症状。与轴位颈椎滑膜囊肿相比，下位颈椎滑膜囊肿的神经根病发生率更高。大多数病例采用手术治疗，减压时进行或不进行融合。无论采用何种手术方法，患者普遍报告症状有所改善。总体而言，手术干预有效地改善了与颈椎滑膜囊肿相关的神经症状。
