6533b7d5fe1ef96bd126490b
RESEARCH PRODUCT
Waste not, want not: Report of a completely calcified C1-C2 juxtafacet cyst and literature review
Luca RuggeriRaffaele AlessandrelloFrancesco NobileJaime MandelliRosario MaugeriGiovanni UrricoLara BrunassoDomenico Gerardo IacopinoGiovanni CinquemaniRita Lipanisubject
medicine.medical_specialtyCordCase Report030218 nuclear medicine & medical imagingLesion03 medical and health sciencesMyelopathy0302 clinical medicineCervical degenerative diseasemedicineCystSpinal canalCalcified cystJuxtafacet cystNeck painbusiness.industrySpinal cystmedicine.diseaseGanglionGanglion cystmedicine.anatomical_structureGanglion cystSurgeryNeurology (clinical)Radiologymedicine.symptombusiness030217 neurology & neurosurgerydescription
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.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2021-07-27 |