Birch B D, Khandji A G, McCormick P C
Department of Neurological Surgery, Neurological Institute, New York, New York, USA.
J Neurosurg. 1996 Nov;85(5):810-6. doi: 10.3171/jns.1996.85.5.0810.
Cysts associated with spinal joints are not a common cause of neurological symptoms. The authors report a series of five patients with cysts of the atlantodental articulation and review five additional cases from the literature. The patients ranged from 60 to 85 years of age and included three men and seven women. No patient had evidence of rheumatoid arthritis or previous trauma. The cysts caused ventral cervicomedullary compression, did not enhance on magnetic resonance imaging, and were not associated with widening of the anterior atlantodental interval or osseous degeneration of the dens. All patients improved postsurgery. Fusion was required if a transoral procedure was performed. Patients undergoing posterior decompressions were clinically and radiographically stable after operation.
与脊柱关节相关的囊肿并非神经症状的常见病因。作者报告了一系列5例齿突关节囊肿患者，并回顾了文献中的另外5例病例。患者年龄在60至85岁之间，包括3名男性和7名女性。所有患者均无类风湿性关节炎或既往外伤史。这些囊肿导致颈髓腹侧受压，在磁共振成像上无强化表现，且与齿突前间隙增宽或齿状突骨质退变无关。所有患者术后均有改善。如果进行经口手术，则需要融合。接受后路减压手术的患者术后在临床和影像学上均保持稳定。
