Unilateral facet cyst at the atlantoaxial joint leading to cervical myelopathy: A case report and review of literature

BACKGROUND: Spinal synovial cysts are rare in the cervical spine where they may cause myeloradiculopathy. Contrast MR studies help differentiate these from other lesions. The optimal treatment is often surgical removal. CASE DESCRIPTION: A 47-year-old male presented with axial neck pain, numbness, a...

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Detalles Bibliográficos
Autores principales: Sharma, Ayush, Naseem, Atif, Agrawal, Harsh, Marathe, Nandan, Nares-Lopez, Felipe Eduardo, Gaddikeri, Manojkumar B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9805656/
https://www.ncbi.nlm.nih.gov/pubmed/36600735
http://dx.doi.org/10.25259/SNI_900_2022
Descripción
Sumario:BACKGROUND: Spinal synovial cysts are rare in the cervical spine where they may cause myeloradiculopathy. Contrast MR studies help differentiate these from other lesions. The optimal treatment is often surgical removal. CASE DESCRIPTION: A 47-year-old male presented with axial neck pain, numbness, and left-hand paresthesia. When the MR study showed dorsolateral cord compression due to a left-sided C1–C2 facet cyst, he underwent a unilateral decompression/fusion. Adequate cyst removal/excision was documented on a postoperative MR performed 2 weeks and 3 months postoperatively. CONCLUSION: A 47-year-old male presented with myelopathy attributed to an MR-documented dorsolateral C1/ C2 facet cyst. Following excision/decompression of the cyst and posterior fusion, the patient’s symptoms/signs resolved.

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