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枢椎滑膜囊肿致脊髓受压。病例报告。

Synovial cyst of dens causing spinal cord compression. Case report.

作者信息

Choe W, Walot I, Schlesinger C, Chambi I, Lin F

机构信息

Department of Pathology, University of California Irvine Medical Center.

出版信息

Paraplegia. 1993 Dec;31(12):803-7. doi: 10.1038/sc.1993.124.

DOI:10.1038/sc.1993.124
PMID:8115174
Abstract

We report a rare case of synovial cyst of the dens (odontoid process) in a 61 year old women with no previous history of trauma. She had progressive symptoms of 1 year's duration due to spinal cord compression. Magnetic resonance imaging of cervical spine revealed a large mass posterior to the dens which was compressing the spinal cord near the cervicomedullary junction. This lesion was at first considered radiologically to represent an exuberant pannus formation or a meningioma of the foramen magnum, but subsequent surgical intervention and pathological examination revealed that it was a synovial cyst. Similar cases reported in the literature are reviewed and discussed.

摘要

我们报告一例罕见的齿状突滑膜囊肿病例,患者为一名61岁女性,既往无创伤史。由于脊髓受压,她出现了持续1年的进行性症状。颈椎磁共振成像显示齿状突后方有一个大肿块,在颈髓交界处附近压迫脊髓。该病变最初在影像学上被认为是增生性血管翳形成或枕骨大孔脑膜瘤,但随后的手术干预和病理检查显示它是一个滑膜囊肿。对文献中报道的类似病例进行了回顾和讨论。

相似文献

1
Synovial cyst of dens causing spinal cord compression. Case report.枢椎滑膜囊肿致脊髓受压。病例报告。
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引用本文的文献

1
Hemorrhagic synovial cyst: An unexpected cause of acute cervical spinal cord compression. Case report.出血性滑膜囊肿:急性颈脊髓压迫的意外原因。病例报告。
Int J Surg Case Rep. 2020;77:527-530. doi: 10.1016/j.ijscr.2020.11.040. Epub 2020 Nov 13.
2
Retro-odontoid cystic mass treated by laminectomy and C1-C2 fixation.经椎板切除术和C1-C2固定治疗的齿状突后囊性肿块
Indian J Orthop. 2014 Nov;48(6):621-4. doi: 10.4103/0019-5413.144239.
3
Retro-odontoid synovial cyst resected via an anterolateral approach without fusion.经前外侧入路切除寰齿后滑膜囊肿,未行融合术。
Eur Spine J. 2015 May;24 Suppl 4:S508-13. doi: 10.1007/s00586-014-3578-2. Epub 2014 Sep 12.
4
A modified "far-lateral" approach for safe resection of retroodontoid dural cysts.改良的“远外侧”入路用于安全切除齿状突后硬膜囊肿。
Eur Spine J. 2011 Jul;20 Suppl 2(Suppl 2):S262-5. doi: 10.1007/s00586-010-1665-6. Epub 2010 Dec 31.
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[Skull base tumors].[颅底肿瘤]
Radiologe. 2005 Sep;45(9):807-15. doi: 10.1007/s00117-005-1259-1.