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Related Experiment Videos

Synovial cyst at the C1-C2 junction.

J Goffin1, G Wilms, C Plets

  • 1Department of Neurology and Neurosurgery, University Hospital Gasthuisberg, Leuven, Belgium.

Neurosurgery
|June 1, 1992
PubMed
Summary

Intraspinal synovial cysts in the cervical spine are rare. This case highlights a degenerative articular cyst involving the quadrate ligament, with typical MRI findings and a proposal for new terminology.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Radiology

Background:

  • Intraspinal synovial or ganglion cysts of the cervical spine are uncommon pathologies.
  • Degenerative articular cysts, particularly in the upper cervical spine, are exceptionally rare.

Purpose of the Study:

  • To report the third case of a degenerative articular cyst of the upper cervical spine.
  • To describe the involvement of the quadrate ligament of the odontoid process.
  • To propose a new, more generalized terminology for these lesions.

Main Methods:

  • Case presentation of a patient with an intraspinal cyst.
  • Magnetic resonance (MR) imaging was utilized for diagnosis.
  • Review of existing literature on spinal cysts.

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Main Results:

  • The cyst involved the quadrate ligament of the upper cervical spine.
  • Magnetic resonance imaging demonstrated characteristic features of a degenerative articular cyst.
  • This represents the third reported case in the medical literature.

Conclusions:

  • Degenerative articular cysts of the upper cervical spine, though rare, can occur and involve specific ligaments like the quadrate ligament.
  • Typical MR imaging findings aid in diagnosis.
  • A revised terminology may improve classification and understanding of these spinal cysts.