Presentation of a Rare Case of Bilateral Lumbar Synovial Cysts
ABSTRACT
Purpose: To report a quite rare case of bilateral symptomatic synovial cysts of the lumbar spine. Surgical resection is usually the cure for this condition. Methods: A 65 year old female patient came to our department, complaining for severe lumbar and sciatic pain. MRI and CT were used to diagnose bilateral synovial cysts. Because of the intensity of symptoms, she was subjected to surgery. Laminectomy and cyst resection were performed. Results: The patient showed complete resolution of pain after the resection of the cysts. Conclusion: Although rare, bilateral synovial cysts may be the cause of severe lumbar pain. In cases of failure of conservative treatment, surgical resection offers good results.
Purpose: To report a quite rare case of bilateral symptomatic synovial cysts of the lumbar spine. Surgical resection is usually the cure for this condition. Methods: A 65 year old female patient came to our department, complaining for severe lumbar and sciatic pain. MRI and CT were used to diagnose bilateral synovial cysts. Because of the intensity of symptoms, she was subjected to surgery. Laminectomy and cyst resection were performed. Results: The patient showed complete resolution of pain after the resection of the cysts. Conclusion: Although rare, bilateral synovial cysts may be the cause of severe lumbar pain. In cases of failure of conservative treatment, surgical resection offers good results.
Cite this paper
K. Violaris and M. Karakyriou, "Presentation of a Rare Case of Bilateral Lumbar Synovial Cysts," Open Journal of Modern Neurosurgery, Vol. 2 No. 2, 2012, pp. 25-27. doi: 10.4236/ojmn.2012.22006.
K. Violaris and M. Karakyriou, "Presentation of a Rare Case of Bilateral Lumbar Synovial Cysts," Open Journal of Modern Neurosurgery, Vol. 2 No. 2, 2012, pp. 25-27. doi: 10.4236/ojmn.2012.22006.
References
[1] B. A. Freedman, T. L. Bui and S. T. Yoon, “Diagnostic Challenge: Bilateral Infected Lumbar Facet Cysts—A Rare Cause of Acute Lumbar Spinal Stenosis and Back Pain,” Journal of Orthopaedic Surgery and Research, Vol. 5, No. 1, 2010, p. 14. doi:10.1186/1749-799X-5-14 [2] A. Gadgil, S. Eisenstein, A. Darby and V. C. Pullicino, “Bilateral Symptomatic Synovial Cysts of the Lumbar Spine Caused by Calcium Pyrophosphate Deposition Disease: A Case Report,” Spine, Vol. 27, No. 19, 2002, pp. 428-431. [3] A. Bozzao, R. Floris, C. Fraioli, L. Ticca and P. Simonetti, “Relapsing-Remitting Bilateral Synovial Cysts of the Lumbar Spine. A Case Report,” Diagnostic Neuroradiology, Vol. 43, No. 12, 2001, pp. 1076-1078. doi:10.1007/s002340100642 [4] B. Coulier, J. Ghosez and P. Mailleux, “Computed Tomography Diagnosis of Clinically Well-Tolerated Bilateral Lumbar Vertebral Synovial Cysts, Journal Belge de Radiologie—Belgisch Tijdschrift voor Radiologi, Vol. 81, No. 3, 1998, pp. 141-143. [5] N. E. Epstein, “Lumbar Synovial Cysts: A Review of Diagnosis, Surgical Management, and Outcome Assessment,” Journal of Spinal Disorders & Techniques, Vol. 17, No. 4, 2004, pp. 321-325. doi:10.1097/01.bsd.0000096267.75190.eb [6] J. de Beukelaar, A. Dallenga, G. de Jong, K. de Winker and S. L. Bakker, “Juxta Facet Cyst of the Lumbar Spine: An Uncommon Cause of Lumbar Radiculopathy,” Nederlands Tijdschrift Voor Geneeskunde, Vol. 154, 2010, p. A1673. [7] R. Deinsberger, E. Kinn and K. Ungersbock, “Microsurgical Treatment of Juxta Facet Cysts of the Lumbar Spine,” Journal of Spinal Disorders & Techniques, Vol. 19, No. 3, 2006, pp. 155-160. doi:10.1097/01.bsd.0000188660.31212.83 [8] K. Gong, Z. Wang, M. Chen and Z. Luo, “Diagnosis and Surgical Management of Intraspinal Hemorrhagic Juxtafacet Cysts in Lumbar Spine: Experience of Eight Cases,” Neurology India, Vol. 58, No. 2, 2010, pp. 288-291. doi:10.4103/0028-3886.63788 [9] R. Acharya, R. Patwardhan, D. Smith, B. Willis, M. Fowler and A. Nand, “Intraspinal Synovial Cysts: A Retrospective Study,” Neurology India, Vol. 54, No. 1, 2006, pp. 38-41. [10] W. Yuh, J. Drew, J. Weinstein, C. McGuire, T. Moore, M. Kathol and G. El-Khoury, “Intraspinal Synovial Cysts. Magnetic Resonance Evaluation,” Spine, Vol. 16, No. 7, pp. 740-745. doi:10.1097/00007632-199107000-00009 [11] N. J. Bureau, P. A. Kaplan and R. G. Dussault, “Lumbar Facet Joint Synovial Cyst: Percutaneous Treatment with Steroid Injections and Distention—Clinical and Imaging Follow-Up in 12 Patients,” Radiology, Vol. 221, No. 1, 2001, pp. 179-185. doi:10.1148/radiol.2211010213
[1] B. A. Freedman, T. L. Bui and S. T. Yoon, “Diagnostic Challenge: Bilateral Infected Lumbar Facet Cysts—A Rare Cause of Acute Lumbar Spinal Stenosis and Back Pain,” Journal of Orthopaedic Surgery and Research, Vol. 5, No. 1, 2010, p. 14. doi:10.1186/1749-799X-5-14 [2] A. Gadgil, S. Eisenstein, A. Darby and V. C. Pullicino, “Bilateral Symptomatic Synovial Cysts of the Lumbar Spine Caused by Calcium Pyrophosphate Deposition Disease: A Case Report,” Spine, Vol. 27, No. 19, 2002, pp. 428-431. [3] A. Bozzao, R. Floris, C. Fraioli, L. Ticca and P. Simonetti, “Relapsing-Remitting Bilateral Synovial Cysts of the Lumbar Spine. A Case Report,” Diagnostic Neuroradiology, Vol. 43, No. 12, 2001, pp. 1076-1078. doi:10.1007/s002340100642 [4] B. Coulier, J. Ghosez and P. Mailleux, “Computed Tomography Diagnosis of Clinically Well-Tolerated Bilateral Lumbar Vertebral Synovial Cysts, Journal Belge de Radiologie—Belgisch Tijdschrift voor Radiologi, Vol. 81, No. 3, 1998, pp. 141-143. [5] N. E. Epstein, “Lumbar Synovial Cysts: A Review of Diagnosis, Surgical Management, and Outcome Assessment,” Journal of Spinal Disorders & Techniques, Vol. 17, No. 4, 2004, pp. 321-325. doi:10.1097/01.bsd.0000096267.75190.eb [6] J. de Beukelaar, A. Dallenga, G. de Jong, K. de Winker and S. L. Bakker, “Juxta Facet Cyst of the Lumbar Spine: An Uncommon Cause of Lumbar Radiculopathy,” Nederlands Tijdschrift Voor Geneeskunde, Vol. 154, 2010, p. A1673. [7] R. Deinsberger, E. Kinn and K. Ungersbock, “Microsurgical Treatment of Juxta Facet Cysts of the Lumbar Spine,” Journal of Spinal Disorders & Techniques, Vol. 19, No. 3, 2006, pp. 155-160. doi:10.1097/01.bsd.0000188660.31212.83 [8] K. Gong, Z. Wang, M. Chen and Z. Luo, “Diagnosis and Surgical Management of Intraspinal Hemorrhagic Juxtafacet Cysts in Lumbar Spine: Experience of Eight Cases,” Neurology India, Vol. 58, No. 2, 2010, pp. 288-291. doi:10.4103/0028-3886.63788 [9] R. Acharya, R. Patwardhan, D. Smith, B. Willis, M. Fowler and A. Nand, “Intraspinal Synovial Cysts: A Retrospective Study,” Neurology India, Vol. 54, No. 1, 2006, pp. 38-41. [10] W. Yuh, J. Drew, J. Weinstein, C. McGuire, T. Moore, M. Kathol and G. El-Khoury, “Intraspinal Synovial Cysts. Magnetic Resonance Evaluation,” Spine, Vol. 16, No. 7, pp. 740-745. doi:10.1097/00007632-199107000-00009 [11] N. J. Bureau, P. A. Kaplan and R. G. Dussault, “Lumbar Facet Joint Synovial Cyst: Percutaneous Treatment with Steroid Injections and Distention—Clinical and Imaging Follow-Up in 12 Patients,” Radiology, Vol. 221, No. 1, 2001, pp. 179-185. doi:10.1148/radiol.2211010213