Related Experiment Videos
Symptomatic intraspinal synovial cyst in a 66-year-old marathon runner
The Journal of Rheumatology
|October 1, 1985
Summary
A marathon runner experienced spinal cyst symptoms relieved by running. Surgical removal of the intraspinal synovial cyst led to a full recovery, resolving pain and paresthesia.
Area of Science:
- Neurosurgery
- Orthopedics
- Radiology
Background:
- Intraspinal synovial cysts are rare, typically affecting the lumbar spine.
- They can cause neurological symptoms due to spinal cord or nerve root compression.
Observation:
- A 66-year-old marathon runner presented with episodic low back pain, paresthesia, and cold sensation.
- Symptoms were predictably relieved by running and exacerbated by the Valsalva maneuver.
- A previous similar episode resolved spontaneously.
Findings:
- Computed tomography (CAT) scan identified an intraspinal synovial cyst at the L5-S1 zygapophyseal joint.
- Routine films and myelogram were inconclusive in diagnosing the lesion.
- Surgical resection of the cyst was performed.
Implications:
- This case highlights the importance of advanced imaging in diagnosing intraspinal synovial cysts.
- Symptomatic relief through specific activities like running can be a unique clinical presentation.
- Successful surgical intervention offers a favorable prognosis for patients with spinal synovial cysts.