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伴有非典型胸痛表现的出血性颈椎滑膜囊肿

Hemorrhagic Cervical Synovial Cyst With Atypical Chest Pain Presentation.

作者信息

Lee Thomas S, Lee Joseph J, Resnick Allyson, Garonzik Ira M

机构信息

Physical Medicine and Rehabilitation, Sinai Hospital of Baltimore, Baltimore, USA.

Neurology and Rehabilitation Medicine, George Washington University School of Medicine and Health Sciences, Washington, D.C., USA.

出版信息

Cureus. 2024 Dec 5;16(12):e75178. doi: 10.7759/cureus.75178. eCollection 2024 Dec.

DOI:10.7759/cureus.75178
PMID:39759702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11700030/
Abstract

Cervical synovial cysts are rare, especially hemorrhagic cervical synovial cysts. The patient was a 58-year-old male with a five-month history of tingling in his right shoulder region, radicular pain in his right arm, and increased pain on the right chest wall that worsened with lying supine down. The patient was diagnosed with a right-sided hemorrhagic synovial cyst at the C7-T1 level. In addition, we have a unique presentation of chest pain, when lying down from a musculoskeletal or neurological etiology instead of a cardiac etiology. The etiology of chest pain of this patient is atypical and not caused by angina. The patient underwent decompression surgery and cyst removal with total resolution of his pain and symptoms.

摘要

颈椎滑膜囊肿较为罕见,尤其是出血性颈椎滑膜囊肿。该患者为一名58岁男性,有5个月的右肩部刺痛、右臂放射性放射性疼痛以及仰卧时右胸壁疼痛加剧的病史。患者被诊断为C7 - T1水平右侧出血性滑膜囊肿。此外,我们遇到了一种独特的胸痛表现,其胸痛源于肌肉骨骼或神经病因而非心脏病因,是在躺下时出现。该患者胸痛的病因不典型,并非由心绞痛引起。患者接受了减压手术及囊肿切除术,术后疼痛和症状完全缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc3/11700030/a3b3fca3a822/cureus-0016-00000075178-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc3/11700030/5925de4d1a56/cureus-0016-00000075178-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc3/11700030/e0e15b1a9a4a/cureus-0016-00000075178-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc3/11700030/350cee2e6b5b/cureus-0016-00000075178-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc3/11700030/a3b3fca3a822/cureus-0016-00000075178-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc3/11700030/5925de4d1a56/cureus-0016-00000075178-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc3/11700030/e0e15b1a9a4a/cureus-0016-00000075178-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc3/11700030/350cee2e6b5b/cureus-0016-00000075178-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adc3/11700030/a3b3fca3a822/cureus-0016-00000075178-i04.jpg

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本文引用的文献

1
Cervical Angina: A Literature Review on Its Diagnosis, Mechanism, and Management.颈性心绞痛:关于其诊断、机制及治疗的文献综述
Asian Spine J. 2021 Aug;15(4):550-556. doi: 10.31616/asj.2020.0269. Epub 2020 Oct 29.
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Cervical synovial cyst.颈椎滑膜囊肿
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Hemorrhagic synovial cyst as an 'evanescing' spinal cervical mass: an issue for differential diagnosis.出血性滑膜囊肿作为一种“消失性”颈椎肿块:鉴别诊断问题
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Subaxial cervical synovial cysts: report of 35 histologically confirmed surgically treated cases and review of the literature.下颈椎滑膜囊肿:35 例经组织学证实的手术治疗病例报告及文献复习。
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Neurosurgery. 2011 Mar;68(3):E858-65; discussion E865. doi: 10.1227/NEU.0b013e3182080127.
8
Spinal synovial cysts: pathogenesis, diagnosis and surgical treatment in a series of seven cases and literature review.脊柱滑膜囊肿:7例病例系列的发病机制、诊断及手术治疗并文献复习
Eur Spine J. 2008 Jun;17(6):831-7. doi: 10.1007/s00586-007-0563-z. Epub 2008 Apr 4.
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Lumbar synovial joint hematoma in a patient on anticoagulation treatment.一名接受抗凝治疗的患者出现腰椎滑膜关节血肿。
Spine (Phila Pa 1976). 2007 Apr 20;32(9):E300-2. doi: 10.1097/01.brs.0000261410.07412.83.
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Lumbar hemorrhagic synovial cysts: diagnosis, pathogenesis, and treatment. Report of 3 cases.腰椎出血性滑膜囊肿:诊断、发病机制及治疗。3例报告。
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