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Related Experiment Videos

Intraspinal synovial cysts: a retrospective study.

R Acharya1, R V Patwardhan, D R Smith

  • 1Department of Neurosurgery, Louisiana State University Health Sciences Center in Shreveport, Shreveport, Louisiana, USA.

Neurology India
|May 9, 2006
PubMed
Summary

Spinal synovial cysts (SSCs) are common in females and often present with back pain and radiculopathy. Surgical resection of these lumbar epidural masses leads to significant patient improvement.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Pathology

Background:

  • Spinal synovial cysts (SSCs) are benign intra-articular ganglia.
  • These cysts can cause significant neurological deficits.

Purpose of the Study:

  • To describe the clinical presentation, radiographic studies, operative findings, and postoperative follow-up in 26 patients with SSCs.
  • To evaluate the efficacy of surgical resection for SSCs.

Main Methods:

  • Retrospective chart review of 26 patients who underwent surgical extirpation of SSCs between 1993 and 2002.
  • Analysis of clinical presentation, imaging (X-ray, MRI, CT), intraoperative findings, histopathology, and postoperative outcomes.

Main Results:

  • SSCs were more prevalent in females (17:9 ratio).

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  • Common symptoms included back pain with radiculopathy (50%), radicular pain without back pain (38%), and sensory/motor deficits (65%/35%).
  • Most cysts occurred in the lumbar (19/26) or lumbosacral (5/26) regions, adjacent to degenerated facet joints.

    • Conclusions:

    • SSCs are important considerations in the differential diagnosis of lumbar epidural masses.
    • Surgical resection is an effective treatment, leading to significant improvement in most patients.