Journal of Korean Neurosurgical Society

  • 제37권1호
  • /
  • Pages.76-78
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  • 2005
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지

Cauda Equina Syndrome Caused by Bilateral Facet Cyst Accompanying Spinal Stenosis

  • Kim, Seok-Won (Department of Neurosurgery, College of Medicine, Chosun University) ;
  • Lee, Seung-Myung (Department of Neurosurgery, College of Medicine, Chosun University)
  • 발행 : 2005.01.31
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초록

We report a rare case of cauda equina syndrome due to bilateral lumbar facet cyst. A 62-year-old woman has developed both legs sciatica 3 months prior to her visit, but recently motor weakness and voiding difficulty occurred. Lumbar magnetic resonance image showed bilateral lumbar facet cyst compressing and surrounding both L5 nerve root and accompanying spinal stenosis. Urgent decompressive laminectomy and cyst removal was performed. Although sciatica was relieved and motor weakness was recovered usefully. Voiding difficulty and dysesthesia were not improved.

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참고문헌

  1. Artico M, Cervoni L, Cariola S, Stevanato G, Mastanutuono M, Nucci F : Synovial cysts : clinical and neurological aspects. Acta Neurochir 139 :176-181, 1997 https://doi.org/10.1007/BF01844747
  2. Heary RF, Steller S, Fobben ES : Preoperative diagnosis of an extradural　cyst arising from a spinal facet joint : Case report. Neurosurgery 30 : 415-417, 1992 https://doi.org/10.1097/00006123-199203000-00018
  3. Hsu KY, Zucherman JF, Shea WJ, Jeffray RA : Lumbar intraspinal synovial and ganglion cysts(Facet cysts) : Ten-year experience in evaluation and treatment. Spine 20 : 80-89, 1995 https://doi.org/10.1097/00007632-199501000-00015
  4. Kao CC, Winkler SS, Turner JH : Synovial cyst of spinal facet : Case report. Neurosurgery 41 : 372-376, 1974 https://doi.org/10.3171/jns.1974.41.3.0372
  5. Kurz LT, Garfin SR, Unger AS : Lumbar synovial or ganglion cysts. Neurosurgery 19 : 865-871, 1985
  6. Marion PJ, Kahanovitz N : Lumbar-Sacral radiculopathy secondary to intraspinal synovial cyst. Arch Phys Med Rehabil 76 : 1011-1013, 1995 https://doi.org/10.1016/S0003-9993(95)81039-0
  7. Moon BJ, Kuh SU, Chin DK, Yoon YS, Cho YE, Kim YS : The surgical treatment of lumbar facet cyst. J Korean Neurosurg Soc 33 : 24-29, 2003
  8. Morano JU, Miller JD, Connors JJ : MR imaging of spinal epidural lipoma. AJNR 10 : S102, 1989
  9. Park YK, Jeon BY, Kim YS : A case of cervical synovial cyst causing myelopathy. J Korean Neurosurg Soc 25 : 1480-1483, 1996
  10. Parlier-Cuau C, Wybier M, Nizard R, Champsaur P, Le Hir P, Laredo JD : Symptomatic lumbar facet joint synovial cysts : Clinical assessment of facet joint steroid injection after 1 and 6 months and long-term follow-up 30 patients. Radiology 210 : 509-513, 1999 https://doi.org/10.1148/radiology.210.2.r99fe60509
  11. Pendleton B, Carl B, Pollay M : Spinal extradural benign synovial or ganglion cyst : case report and review of the literature. Neurosurgery 13 : 322-326, 1983 https://doi.org/10.1227/00006123-198309000-00021
  12. Sabo RA, Tracy PT, Weinger JM : A series of 60 juxtafacet cysts : clinical presentation of myelographic, CT, MR, and pathologic finding. AJNR 11 : 777-779, 1990
  13. Parlier-Cuau C, Wybier M, Nizard R, Champsaur P, Le Hir P, Laredo JD : Symptomatic lumbar facet joint synovial cysts : Clinical assessment of facet joint steroid injection after 1 and 6 months and long-term follow-up 30 patients. Radiology 210 : 509-513, 1999 https://doi.org/10.1148/radiology.210.2.r99fe60509
  14. Pendleton B, Carl B, Pollay M : Spinal extradural benign synovial or ganglion cyst : case report and review of the literature. Neurosurgery 13 : 322-326, 1983 https://doi.org/10.1227/00006123-198309000-00021
  15. Sabo RA, Tracy PT, Weinger JM : A series of 60 juxtafacet cysts : clinical presentation of myelographic, CT, MR, and pathologic finding. AJNR 11 : 777-779, 1990