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Related Experiment Videos

Synovial cyst at the craniovertebral junction.

J D Miller1, O al-Mefty, T H Middleton

  • 1Department of Neurosurgery, University of Mississippi Medical Center, Jackson 39216-4505.

Surgical Neurology
|March 1, 1989
PubMed
Summary

A synovial cyst in the upper cervical spine caused severe neurological deficits. Surgical removal via laminectomy and craniectomy led to a good patient recovery.

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Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Neurology

Background:

  • Synovial cysts are rare, benign cystic lesions that can occur in the spine.
  • Cysts in the upper cervical spine are particularly uncommon and can cause significant neurological compromise.

Observation:

  • A patient presented with spastic quadriparesis and sensory loss due to an upper cervical spine synovial cyst.
  • Diagnostic imaging included computed tomography (CT) myelography and magnetic resonance imaging (MRI).

Findings:

  • Surgical intervention involved a laminectomy at C-1 and C-2, along with a foramen magnum craniectomy.
  • Histopathological analysis confirmed the diagnosis of a synovial cyst.

Implications:

  • This case highlights the importance of considering synovial cysts in the differential diagnosis of cervical myelopathy.
  • Surgical decompression offers a viable treatment option with potential for significant neurological recovery.

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