Irani L, Hilliquin P, Renoux M, Devaux B, Menkès C J
Service de Rhumatologie A, Hôpital Cochin, Paris.
Rev Rhum Ed Fr. 1993 Jun;60(6):459-62.
A case of paraparesis due to an apophyseal joint cyst is reported. Full recovery occurred following surgical removal of the cyst. A review of the literature found approximately 60 cases of nerve root pain due to a synovial apophyseal joint cyst. Only very few patients had neurological loss. Facet joint cysts must be differentiated from spinal tumors. Computed tomography and above all magnetic resonance imaging provide valuable diagnostic and therapeutic information.
报告了一例因骨突关节囊肿导致双下肢轻瘫的病例。囊肿手术切除后实现了完全康复。文献回顾发现约60例因滑膜骨突关节囊肿导致神经根疼痛的病例。仅有极少数患者出现神经功能丧失。小关节囊肿必须与脊柱肿瘤相鉴别。计算机断层扫描尤其是磁共振成像提供了有价值的诊断和治疗信息。
