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Bilateral thoracic ganglion cyst : a rare case report
Burak Kazanci1, Ozkan Tehli, Erhan Türkoglu
1Neurosurgery Clinic, Ministry of Health, Sevket Yilmaz Education and Research Hospital, Bursa, Turkey.
Journal of Korean Neurosurgical Society
|August 3, 2013
Summary
Bilateral thoracic ganglion cysts compressing the L1 nerve root are extremely rare. This case highlights a unique instance of these cysts causing severe radiculopathy, emphasizing the need for considering this diagnosis.
Area of Science:
- Neurosurgery
- Radiology
- Pathology
Background:
- Ganglion cysts typically originate near facet joints, often linked to degenerative changes.
- Bilateral thoracic ganglion cysts are exceptionally rare, with no prior reports in the intervertebral foramen compressing the L1 nerve root.
Observation:
- A 53-year-old woman presented with severe bilateral groin pain and numbness.
- Magnetic resonance imaging identified bilateral cystic masses within the intervertebral foramen at the T12-L1 level.
Findings:
- Surgical removal of the cystic lesions from the bilateral T12-L1 foramens was performed.
- Histopathology confirmed the diagnosis of ganglion cysts.
Implications:
- Ganglion cysts in the intervertebral foramen can compress the lumbar dorsal ganglion, leading to radiculopathy.
- This rare presentation necessitates its inclusion in the differential diagnosis for surgeons managing such symptoms.
