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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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
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author Sharma, Ayush
Naseem, Atif
Agrawal, Harsh
Marathe, Nandan
Nares-Lopez, Felipe Eduardo
Gaddikeri, Manojkumar B.
author_facet Sharma, Ayush
Naseem, Atif
Agrawal, Harsh
Marathe, Nandan
Nares-Lopez, Felipe Eduardo
Gaddikeri, Manojkumar B.
author_sort Sharma, Ayush
collection PubMed
description 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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spelling pubmed-98056562023-01-03 Unilateral facet cyst at the atlantoaxial joint leading to cervical myelopathy: A case report and review of literature Sharma, Ayush Naseem, Atif Agrawal, Harsh Marathe, Nandan Nares-Lopez, Felipe Eduardo Gaddikeri, Manojkumar B. Surg Neurol Int Case Report 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. Scientific Scholar 2022-12-02 /pmc/articles/PMC9805656/ /pubmed/36600735 http://dx.doi.org/10.25259/SNI_900_2022 Text en Copyright: © 2022 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, transform, 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
Sharma, Ayush
Naseem, Atif
Agrawal, Harsh
Marathe, Nandan
Nares-Lopez, Felipe Eduardo
Gaddikeri, Manojkumar B.
Unilateral facet cyst at the atlantoaxial joint leading to cervical myelopathy: A case report and review of literature
title Unilateral facet cyst at the atlantoaxial joint leading to cervical myelopathy: A case report and review of literature
title_full Unilateral facet cyst at the atlantoaxial joint leading to cervical myelopathy: A case report and review of literature
title_fullStr Unilateral facet cyst at the atlantoaxial joint leading to cervical myelopathy: A case report and review of literature
title_full_unstemmed Unilateral facet cyst at the atlantoaxial joint leading to cervical myelopathy: A case report and review of literature
title_short Unilateral facet cyst at the atlantoaxial joint leading to cervical myelopathy: A case report and review of literature
title_sort unilateral facet cyst at the atlantoaxial joint leading to cervical myelopathy: a case report and review of literature
topic Case Report
url 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
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