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2015, Number 1

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Rev Mex Med Fis Rehab 2015; 27 (1)

Dorsal root ganglion compression due to facet synovial cyst: Two cases report

Domínguez-Gasca LG, Alcocer-Maldonado JL, Mora-Constantino J, Domínguez-Carrillo LG

Language: Spanish
References: 11
Page: 24-27
PDF size: 257.40 Kb.


ABSTRACT

Low back pain with radicular compression data is a symptom often seen in rehabilitation consultation; lumbar synovial cysts as a cause of it, is uncommon, these injuries are related to degeneration of the facet joint; its preferred location is at L4-L5, being magnetic resonance imaging the choice for diagnosis. Surgery is the best option if there is persistent pain and neurological symptoms. We present two cases: female 55 years of age with no history of interest, came into rehab for a case of S1 nerve root compression. With MR imaging of synovial cyst left lumbar L5/S1. The other case is a female patient of 63 years with a case of right L5 nerve root compression with NMR diagnostic lumbar synovial cyst right L4/L5. Both patients managed with hemilaminectomy, cystectomy and subsequently a rehabilitation program.


REFERENCES

  1. Khan AM, Girardi F. Spinal lumbar synovial cysts. Diagnosis and management challenge. Eur Spine J. 2006; 15: 1176-1182.

  2. Métellus P, Fuentes S, Adetchessi T, Levrier O, Flores-Parra I, Talianu D et al. Retrospective study of 77 patients harbouring lumbar synovial cysts: functional and neurological outcome. Acta Neurochir (Wien). 2006; 148: 47-54.

  3. Baker WM. Formation of synovial cysts in connection with joints. St. Bartholomews Hospital Reports. 1885; 21: 177-190.

  4. Lyons MK, Atkinson JL, Wharen RE, Deen HG, Zimmerman RS, Lemens SM. Surgical evaluation and management of lumbar synovial cysts: the Mayo Clinic experience. J Neurosurg. 2000; 93 (1 Suppl): 53-57.

  5. Serhan HA, Varnavas G, Dooris AP, Patwardhan A, Tzermiadianos M. Bipmechanics of the posterior lumbar articulating elements. Neurosurg Focus. 2007; 22: 1-6.

  6. Dagain A, Dulou R, Dutertre G, Delmas JM, Pouit B, de Soultrait F et al. Surgical management of synovial cyst of the lumbar spine: retrospective study of 52 patients. Rev Chir Orthop Reparatrice Appar Mot. 2008; 94: 289-296.

  7. Domínguez CL, Franco DR, Vargas CJ. Síndrome facetario, valoración de 20 criterios diagnósticos. Rev Mex Reumatol. 1998; 13: 89-94.

  8. Alicioglu B, Sut N. Synovial cysts of the lumbar facet joints: a retrospective magnetic resonance imaging study investigating their relation with degenerative spondylolisthesis. Prague Med Rep. 2009; 110: 301-309.

  9. Erbas M, Ozdemir U, Toman H, Sahin H, Savluk O, Luleci N. Percutaneus treatment of lumbar synovial cyst: a case report. Acta Médica Mediterránea. 2014, 30: 535-537.

  10. Khan AM, Synnot K, Camissa FP, Girardi FP. Lumbar synovial cysts of the spine: an evaluation of surgical outcome. J Spinal Disord Tech. 2005; 18: 127-131.

  11. Trummer M, Flaschka G, Tillich M, Homann CN, Unger F, Eustacchio S. Diagnosis and surgical management of intraspinal synovial cysts: report of 19 cases. J Neurol Neurosurg Psychiatry. 2001; 70: 74-77.




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