scholarly journals Can lumbar hemorrhagic synovial cyst cause acute radicular compression? Case report

2014 ◽  
Vol 12 (4) ◽  
pp. 509-512 ◽  
Author(s):  
Luciana Sátiro Timbó ◽  
Laercio Alberto Rosemberg ◽  
Reynaldo André Brandt ◽  
Ricardo Botticini Peres ◽  
Olavo Kyosen Nakamura ◽  
...  
Keyword(s):  
Bleeding Complication ◽  
Anticoagulation Therapy ◽  
Synovial Cyst ◽  
Cord Compression ◽  
Compression Syndrome ◽  
Gradual Onset ◽  
Synovial Cysts ◽  
Spinal Cord Compression Syndrome ◽  
The Right ◽  
Radicular Compression

Lumbar synovial cysts are an uncommon cause of back pain and radiculopathy, usually manifesting with gradual onset of symptoms, secondary to involvement of the spinal canal. Rarely, intracyst hemorrhage occurs, and may acutely present as radicular - or even spinal cord - compression syndrome. Synovial cysts are generally associated with degenerative facets, although the pathogenesis has not been entirely established. We report a case of bleeding complication in a synovial cyst at L2-L3, adjacent to the right interfacet joint, causing acute pain and radiculopathy in a patient on anticoagulation therapy who required surgical resection.

INTENSIVE CARE OF LIFE-THREATENING CONDITIONS IN PEDIATRIC ONCOHEMATOLOGY

2021 ◽  
Vol 100 (5) ◽  
pp. 138-144
Author(s):  
N.V. Matinyan ◽  
◽  
T.T. Valiev ◽  
K.I. Kirgizov ◽  
S.R. Varfolomeeva ◽  
...  
Keyword(s):  
Superior Vena ◽  
Tumor Lysis Syndrome ◽  
Vena Cava ◽  
Cord Compression ◽  
Adverse Outcomes ◽  
Malignant Neoplasms ◽  
Neutropenic Enterocolitis ◽  
Compression Syndrome ◽  
Life Threatening ◽  
Spinal Cord Compression Syndrome

Malignant neoplasms of the blood system in children are represented by highly aggressive variants, which at the stage of diagnosis and program chemotherapy can be complicated by the development of life-threatening conditions. Understanding the risk of possible complications allows you to effectively carry out preventive and therapeutic measures, to minimize adverse outcomes. This article presents modern approaches to the diagnosis and treatment of the most common life-threatening conditions in pediatric oncohematology: acute tumor lysis syndrome, typhlitis and neutropenic enterocolitis, superior vena cava syndrome, malignant airway compression syndrome, acute impairment of consciousness, spinal cord compression syndrome, thrombosis, methemoglobinemia.

scholarly journals Malignant Spinal Cord Compression Syndrome as an Initial Presentation of Testicular Cancer

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Carlos Eduardo Salazar-Mejía ◽  
Edio Llerena-Hernández ◽  
David Hernández-Barajas ◽  
Oscar Vidal-Gutiérrez ◽  
Adriana González-Gutiérrez ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Germ Cell Tumors ◽  
Rare Event ◽  
Cord Compression ◽  
Initial Manifestation ◽  
Compression Syndrome ◽  
Left Testicle ◽  
Spinal Cord Compression Syndrome ◽  
Hepatic Metastatic Disease

Malignant spinal cord compression syndrome (MSCCS) occurs in 2.5 to 5% of all oncological patients. In 20% of the cases, it is the initial manifestation. This syndrome is a rare event among germ cell tumors (GCT), occurring in only 1.7% of the patients. We present the case of a 24-year-old man who arrived at the emergency department with dysesthesia and paraparesis as well as urinary incontinence. Imaging studies showed an infiltrative lesion in the left testicle, pulmonary and hepatic metastatic disease, and a large retroperitoneal ganglionar conglomerate that infiltrated the spinal cord through the intervertebral foramina of the vertebra level T11 with displacement of the L1 vertebral body. A postoperative biopsy showed a pure embryonal carcinoma. In the initial approach of a young man who presents spinal cord compression, the presence of MSCCS associated with GCT should be considered as a possible cause. A high level of suspicion is required to achieve a timely diagnosis, to grant the patient the best possible outcome.

Epidural neural fibrolipoma of the thoracic vertebral canal

2012 ◽  
Vol 17 (5) ◽  
pp. 449-452 ◽  
Author(s):  
Paolo Missori ◽  
Sergio Pandolfi ◽  
Manila Antonelli ◽  
Maurizio Domenicucci
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Benign Tumor ◽  
Cord Compression ◽  
Thoracic Cavity ◽  
Medium Term ◽  
Total Removal ◽  
Compression Syndrome ◽  
Spinal Cord Compression Syndrome

Neural fibrolipoma is a benign tumor that most frequently infiltrates the median nerve. The authors describe a patient with spinal cord compression syndrome caused by a neural fibrolipoma. The tumor originated in the thoracic nerve at the T6–7 extradural level in the left conjugate foramen and extended into the thoracic cavity. Total removal was achieved by a combined posterior and costotransversectomy approach. Postoperatively, the patient's spinal cord compression syndrome resolved. No tumor recurrence has been observed in medium-term follow-up. This is the second case of an extradural spinal neural fibrolipoma to be reported in the literature.

scholarly journals On Studies of Atypical Spinal Cord Compression Syndrome at the Cervical Osteochondrosis

1971 ◽  
Vol 20 (2) ◽  
pp. 155-157
Author(s):  
A. Shigematsu ◽  
S. Hattori ◽  
K. Yamamoto ◽  
T. Morita ◽  
S. Okuyama
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Compression Syndrome ◽  
Spinal Cord Compression Syndrome

Impact of Myelography on the Radiotherapeutic Management of Malignant Spinal Cord Compression

Neurosurgery ◽  
1986 ◽  
Vol 19 (4) ◽  
pp. 614-616 ◽  
Author(s):  
Alison R. Calkins ◽  
Margaret A. Olson ◽  
James H. Ellis
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Additional Information ◽  
Compression Syndrome ◽  
Plain Films ◽  
Port Design ◽  
Bony Lesions ◽  
History Of ◽  
Spinal Cord Compression Syndrome

Abstract From December 1981 through August 1984, 24 patients with spinal cord compression syndrome due to epidural neoplasms were evaluated for radiotherapy with clinical examination, radiographs of the spine, and myelography. All plain films were reviewed, and mock radiotherapy fields designed using specific criteria for margins. The same patients were reviewed a second time considering the additional information provided by myelography. The initial treatment fields were found to be inadequate in 69% of the patients. Even in patients with discrete bony lesions, the results of myelography affected the treatment 45% of the time. A history of previous spinal irradiation significantly influenced port design in only 1 of the 7 patients who had received previous radiotherapy. Although invasive, myelography is essential in planning the treatment of spinal cord compression.

scholarly journals Bilateral mirror-like image of cervical synovial cyst in adults

2019 ◽  
Vol 2 (2) ◽  
pp. 30-32
Author(s):  
Farid Yudoyono ◽  
Deasy Herminawaty ◽  
Hendra ◽  
Dewi Pratiwi ◽  
Nasofi Tri Ramdhani
Keyword(s):  
Amorphous Materials ◽  
Fibrous Tissue ◽  
Synovial Cyst ◽  
Cord Compression ◽  
Cystic Mass ◽  
Neurological Deficits ◽  
Facet Joints ◽  
Increased Sensitivity ◽  
Synovial Cysts ◽  
Sensitivity To Pain

Cervical synovial cysts (SC), however uncommon, can cause radiculopathy and myelopathy. In this study, we report a case of a cervical synovial cyst presented as myelopathy. A 48-year-old man presented with gait disturbance decreased touch senses and increased sensitivity to pain below the C5 level. Magnetic resonance imaging revealed a 0.3-mm, bilateral mirror-like small cystic lesion in the spinal canal with cord compression at the C5-6 level. We performed a bilateral expansive laminoplasty of C5 using a posterior approach and completely removed the cystic mass. Histological examination of the resected mass revealed fibrous tissue fragments with amorphous materials and granulation tissue compatible with a synovial cyst. The patient’s symptoms resolved within 3 months after surgery. Although cervical SC is often associated with degenerative facet joints, clinicians must be aware that SC may lead to neurological deficits.

scholarly journals Synovial Cyst of the Atlantoaxial Joint Removed through a Posterior Intradural Approach

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Atsuhiko Toyoshima ◽  
Kiminori Sakurai ◽  
Nobuhiro Sasaki ◽  
Miyuki Fukuda ◽  
Shigeo Ueda ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Cervical Spinal Cord ◽  
Synovial Cyst ◽  
Cord Compression ◽  
Atlantoaxial Instability ◽  
Rapid Progression ◽  
Atlantoaxial Joint ◽  
Tumor Lesion ◽  
One Year ◽  
The Right

Introduction. Synovial cysts rarely develop in the atlantoaxial joint. We report a case of posterior C1-2 laminectomy for a synovial cyst of the atlantoaxial joint which passed through the dorsal dura and put pressure on the cervical spinal cord. Case Presentation. A 62-year-old man with rapid progression of pain and weakness in the left upper extremity presented to our hospital. A cervical spine X-ray showed left C5-6 and C6-7 stenoses. A cervical magnetic resonance imaging showed an intradural extramedullary cystic lesion on the right side of the ventral cervical spinal cord at the C1-2 level and severe compression of the cervical spinal cord. Because a cyst was partially enhancing, a tumor lesion was not identifiable. Due to severe spinal cord compression, we performed intradural cyst removal via a posterior intradural approach with C1-2 laminectomy and left-sided C5-6 and C6-7 foraminotomies. One year after surgery, the cyst did not recur, and atlantoaxial instability did not appear. Discussion. A compressive lesion on the cervical spinal cord was not identified preoperatively as a synovial cyst. However, intraoperative and pathological findings suggested that the compressive lesion can be a synovial cyst which passed through the dorsal dura. The surgical treatment strategy for a synovial cyst of the atlantoaxial joint is controversial due to factors, such as the presence of atlantoaxial instability, level of cyst causing compression of the cervical spinal cord, severity of myelopathy, and cyst location. In the present study, the cervical spinal cord was highly compressed and the cyst was located on the right side of the cervical spinal cord; we chose cyst removal through a posterior intradural approach with C1-2 laminectomy.

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