Regression of an atlantoaxial degenerative articular cyst associated with subluxation during conservative treatment

Journal of Neurosurgery: Spine - Tập 5 Số 2 - Trang 161-164 - 2006
Takao Sagiuchi1, Satoru Shimizu1, Ryusui Tanaka1, Shigekuni Tachibana1, Kiyotaka Fujii1
1Department of Neurosurgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan

Tóm tắt

✓ The presence of an atlantoaxial degenerative articular cyst is rare; when present this lesion extends posteriorly to the dens, causing cervicomedullary compressive myelopathy. The authors describe a symptomatic case of this lesion associated with atlantoaxial subluxation in a 76-year-old man. The patient’s neurological symptoms resolved and corresponded to a reduction in the size of the cyst. After 8 months of continued conservative treatment, in which the patient wore a Philadelphia collar, the cyst spontaneously regressed. Subsequently, a C1–2 posterior fusion was performed to treat the atlantoaxial subluxation.

Từ khóa


Tài liệu tham khảo

1999, Cranio-cervical junction synovial cyst associated with atlantoaxial dislocation—case report, 39, 539, 10.2176/nmc.39.539

1996, Atlantoaxial degenerative articular cysts, 85, 810, 10.3171/jns.1996.85.5.0810

1993, Synovial cyst of dens causing spinal cord compression. Case report, 31, 803

2003, Intraspinal synovial cyst at the craniocervical junction, 64, 86, 10.1055/s-2003-40378

1997, Synovial cyst and degeneration of the transverse ligament: an unusual cause of high cervical myelopathy. Case report, 86, 1027, 10.3171/jns.1997.86.6.1027

1992, Synovial cyst at the C1-C2 junction, 30, 914

2001, Retro-odontoid soft tissue mass associated with atlantoaxial subluxation in an elderly patient: a case report, 55, 223, 10.1016/S0090-3019(01)00345-7

2000, Retrodental synovial cyst which disappeared after posterior C1-C2 fusion: a case report, 8, 83, 10.1177/230949900000800115

1968, Lumbar intraspinal extradural ganglion cyst, 29, 168, 10.3171/jns.1968.29.2.0168

1974, Synovial cyst of spinal facet. Case report, 41, 372, 10.3171/jns.1974.41.3.0372

1996, Periodontoid synovial cysts causing cervico-medullary compression, 23, 227, 10.1017/S0317167100038579

1989, Synovial cyst at the craniovertebral junction, 31, 239, 10.1016/0090-3019(89)90125-0

1988, Synovial cysts of the spine, 22, 642, 10.1227/00006123-198804000-00004

1983, Spinal extradural benign synovial or ganglion cyst: case report and review of the literature, 13, 322, 10.1227/00006123-198309000-00021

1986, Pseudotumor of the craniovertebral junction associated with chronic subluxation: MR imaging studies, 161, 391, 10.1148/radiology.161.2.3763907

2001, Cysts of the atlantoaxial joint: excellent long-term outcome after posterolateral surgical decompression. Report of two cases, 95, 111

Thông tin
Thông tin xuất bản

Journal of Neurosurgery: Spine

Tập 5 Số 2

161-164

Thông tin tác giả