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All Journal Neurologico Spinale Medico Chirurgico
Dewi Pratiwi
Neurospine and Pain Center, Santosa Hospital Bandung Kopo, Bandung, Jawa Barat, Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience

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Bilateral mirror-like image of cervical synovial cyst in adults Farid Yudoyono; Deasy Herminawaty; Hendra; Dewi Pratiwi; Nasofi Tri Ramdhani
Neurologico Spinale Medico Chirurgico Vol 2 No 2 (2019)
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (501.93 KB) | DOI: 10.36444/nsmc.v2i2.8

Abstract

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.
Co-Authors Deasy Herminawaty Farid Yudoyono Hendra Nasofi Tri Ramdhani