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Synovial cyst at the intervertebral foramina causing lumbar radiculopathy
1Department of Neurosurgery, School of Medicine, Dicle University, Diyarbakir, Turkey.
Objective:
To determine the presence of intraforaminal synovial cysts resulting in nerve root compression.
Methods:
A 26 year old man presenting with left leg pain was admitted. He had no motor, sensory, or reflex changes. Magnetic resonance imaging (MRI) and MRI-myelography showed an intra and extra foraminal, extradural, cystic lesion at L4 vertebra on the left side.
Results:
At surgery there was a cystic mass pressing on the nerve root, and no connection or communication with the dural structures could be found.
Conclusion:
Synovial cysts are uncommon extradural degenerative lesions. Intraspinal synovial cysts occur most often at the L4-5 level, but they have been reported in all areas of the spine except the intraforaminal region and the sacrum.