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Waste not, want not: Report of a completely calcified C1-C2 juxtafacet cyst and literature review

BACKGROUND: Calcified juxtafacet cysts in the cervical spine are extremely rate. Such symptomatic cysts commonly cause neck pain, radiculopathy, or even myelopathy. MR and CT studies typically document cord/ root compression. On occasion, some of these cysts will spontaneously regress, while many ot...

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Autores principales: Ruggeri, Luca, Brunasso, Lara, Urrico, Giovanni, Alessandrello, Raffaele, Cinquemani, Giovanni, Lipani, Rita, Mandelli, Jaime, Nobile, Francesco, Iacopino, Domenico Gerardo, Maugeri, Rosario
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8422454/
https://www.ncbi.nlm.nih.gov/pubmed/34513136
http://dx.doi.org/10.25259/SNI_574_2021
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author Ruggeri, Luca
Brunasso, Lara
Urrico, Giovanni
Alessandrello, Raffaele
Cinquemani, Giovanni
Lipani, Rita
Mandelli, Jaime
Nobile, Francesco
Iacopino, Domenico Gerardo
Maugeri, Rosario
author_facet Ruggeri, Luca
Brunasso, Lara
Urrico, Giovanni
Alessandrello, Raffaele
Cinquemani, Giovanni
Lipani, Rita
Mandelli, Jaime
Nobile, Francesco
Iacopino, Domenico Gerardo
Maugeri, Rosario
author_sort Ruggeri, Luca
collection PubMed
description BACKGROUND: Calcified juxtafacet cysts in the cervical spine are extremely rate. Such symptomatic cysts commonly cause neck pain, radiculopathy, or even myelopathy. MR and CT studies typically document cord/ root compression. On occasion, some of these cysts will spontaneously regress, while many others may warrant surgical removal. CASE DESCRIPTION: A 70-year-old male presented with a 2-year history of a progressive tetraparesis. The preoperative MR/CT studies showed a C1-C2 left extradural mass occupying more than half of the spinal canal. On MR, it was homogeneously hypointense on both T1- and T2-weighted images, while the CT showed a calcified cyst. Intraoperative and histopathological findings documented a calcified cervical juxtafacet cyst (i.e. ganglion subtype) that was fully excised without sequelae. CONCLUSION: C1-C2 juxtafacet cervical cyst should be considered when a patient presents with myelopathy due to a calcified MR/CT documented paraspinal lesion contributing to significant cervical cord/root compression.
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spelling pubmed-84224542021-09-09 Waste not, want not: Report of a completely calcified C1-C2 juxtafacet cyst and literature review Ruggeri, Luca Brunasso, Lara Urrico, Giovanni Alessandrello, Raffaele Cinquemani, Giovanni Lipani, Rita Mandelli, Jaime Nobile, Francesco Iacopino, Domenico Gerardo Maugeri, Rosario Surg Neurol Int Case Report BACKGROUND: Calcified juxtafacet cysts in the cervical spine are extremely rate. Such symptomatic cysts commonly cause neck pain, radiculopathy, or even myelopathy. MR and CT studies typically document cord/ root compression. On occasion, some of these cysts will spontaneously regress, while many others may warrant surgical removal. CASE DESCRIPTION: A 70-year-old male presented with a 2-year history of a progressive tetraparesis. The preoperative MR/CT studies showed a C1-C2 left extradural mass occupying more than half of the spinal canal. On MR, it was homogeneously hypointense on both T1- and T2-weighted images, while the CT showed a calcified cyst. Intraoperative and histopathological findings documented a calcified cervical juxtafacet cyst (i.e. ganglion subtype) that was fully excised without sequelae. CONCLUSION: C1-C2 juxtafacet cervical cyst should be considered when a patient presents with myelopathy due to a calcified MR/CT documented paraspinal lesion contributing to significant cervical cord/root compression. Scientific Scholar 2021-07-27 /pmc/articles/PMC8422454/ /pubmed/34513136 http://dx.doi.org/10.25259/SNI_574_2021 Text en Copyright: © 2021 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Ruggeri, Luca
Brunasso, Lara
Urrico, Giovanni
Alessandrello, Raffaele
Cinquemani, Giovanni
Lipani, Rita
Mandelli, Jaime
Nobile, Francesco
Iacopino, Domenico Gerardo
Maugeri, Rosario
Waste not, want not: Report of a completely calcified C1-C2 juxtafacet cyst and literature review
title Waste not, want not: Report of a completely calcified C1-C2 juxtafacet cyst and literature review
title_full Waste not, want not: Report of a completely calcified C1-C2 juxtafacet cyst and literature review
title_fullStr Waste not, want not: Report of a completely calcified C1-C2 juxtafacet cyst and literature review
title_full_unstemmed Waste not, want not: Report of a completely calcified C1-C2 juxtafacet cyst and literature review
title_short Waste not, want not: Report of a completely calcified C1-C2 juxtafacet cyst and literature review
title_sort waste not, want not: report of a completely calcified c1-c2 juxtafacet cyst and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8422454/
https://www.ncbi.nlm.nih.gov/pubmed/34513136
http://dx.doi.org/10.25259/SNI_574_2021
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