Atypical presentation of a cervical synovial cyst

• Type: Article in International Scientific Journal
• Date: 2017

Authors

Linhares, D (Author) Other; Lobo, J (Author) Other; Pinto, R (Author) Other; Neves, N (Author) FMUP

Journal

Title: European Spine Journal

Vol. 26

Pages: 2267-2271

ISSN: 0940-6719

Publisher: Springer Nature

Indexing

ISI Web of Knowledge - 6 Citations

Scopus - 6 Citations

Other information

Authenticus ID: P-00M-DV2

DOI: 10.1007/s00586-017-4947-4

Abstract (EN): Synovial cysts of the cervical spine are rare. These lesions have been associated with other spinal conditions as osteoarthritis, spondylolisthesis, and disc degeneration, with authors postulating a possible link with segmental spinal instability. This study aims to describe an atypically presenting case of a cervical synovial cyst. A 65-year-old man presented with complaints of cervical radicular pain (VAS of 7) that evolved with development of paresthesia and muscular weakness, compatible with C8 right compression. This symptomatology had an odd pattern with total regression of symptoms when lying supine or upon extreme efforts, leading to a delayed referral to MRI. A C7-T1 synovial cyst was identified, compressing the C8 nerve root. The patient was submitted to decompression and instrumented fusion of the affected level and showed total regression of symptoms. Although rare, cervical synovial cysts are associated with a significant impairment in patients' daily activities. The atypical pattern of symptoms described in this case may be associated with the fluid content of the cyst, with postural changes causing different degrees of root compression. Most authors agree on a surgical option, but the need for associated fusion is still under debate.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 5