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A case of subacute epiconus syndrome caused by thoracolumbar synovial cyst
Ryusei Nobori1, Hisaaki Uchikado1,2, Yuko Baba3
1Department of Neurosurgery, Kurume University School of Medicine, Kurume, Japan.
Background:
Here, we report a thoracolumbar (TL) junction synovial cyst (SC) causing a cauda equina syndrome (CES)/epiconus syndrome (ECS).
Case Description:
A 69-year-old male presented with a progressive parparesis/CES. When the magnetic resonance imaging revealed a T12-L1 epiconus/TL SC, a decompression was performed, resulting in symptomatic improvement (i.e., right-sided foot drop still resolving).
Conclusion:
ECS attributed to TL SC warrants immediate magnetic resonance evaluations and surgical decompression.
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