Kaufmann A M, Halliday W C, West M, Fewer D, Ross I
Section of Neurosurgery, University of Manitoba.
Can J Neurol Sci. 1996 Aug;23(3):227-30. doi: 10.1017/s0317167100038579.
Periodontoid synovial cysts are rare lesions which may produce symptomatic cervico-medullary compression.
We report such a patient, whose progressive neurological deterioration required surgical treatment by transoral odontoidectomy and decompression.
The diagnostic and theraputic interventions are described, including a lumbar puncture which precipitated a transient loss of consciousness and respiratory arrest. Surgery achieved clinical improvement, without complications or need for operative stablization. Detailed neuropathology is presented, as well as a literature review.
Appropriate neuroradiological assessment is required in patients with suspected cervico-medullary compression, and symptomatic periodontoid synovial cysts may respond well to transoral surgical decompression.
齿突滑膜囊肿是罕见的病变，可导致有症状的颈髓压迫。
我们报告了这样一位患者，其进行性神经功能恶化需要经口齿突切除术和减压手术治疗。
描述了诊断和治疗干预措施，包括一次导致短暂意识丧失和呼吸骤停的腰椎穿刺。手术使临床症状得到改善，无并发症且无需手术固定。展示了详细的神经病理学以及文献综述。
疑似颈髓压迫的患者需要进行适当的神经放射学评估，有症状的齿突滑膜囊肿可能对经口手术减压反应良好。
