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"Synovial cyst"

Case Reports

Postlaminectomy Bilateral Lumbar Intraspinal Synovial Cysts
Sung Ik Cho, Jung Hwan Lee, Chung Kee Chough
Korean J Spine 2016;13(3):157-159.   Published online September 30, 2016
DOI: https://doi.org/10.14245/kjs.2016.13.3.157

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Postlaminectomy Bilateral Lumbar Intraspinal Synovial Cysts
Korean J Spine. 2016;13(3):157-159.   Published online September 30, 2016
DOI: https://doi.org/10.14245/kjs.2016.13.3.157
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Postlaminectomy Bilateral Lumbar Intraspinal Synovial Cysts
Korean J Spine. 2016;13(3):157-159.   Published online September 30, 2016
DOI: https://doi.org/10.14245/kjs.2016.13.3.157
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Lumbar intraspinal synovial cysts are included in the difference diagnosis of lumbar radiculopathy. Developing imaging modalities has result in increased reporting about these lesions. However, the case of bilateral new lumbar intraspinal synovial cysts after laminectomy has been rarely reported. We report of a rare case with bilateral lumbar intraspinal synovial cysts after laminectomy, requiring surgical excision.

Citations

Citations to this article as recorded by  Crossref logo
  • Diagnostic challenge between hemorrhagic facet cyst and spontaneous spinal epidural hematoma: a case report and literature review
    Huseyin Sarikaya, Behrad Aras Nasehi, Mustafa Umut Etli, Mazlum Isik, Ali Erhan Kayalar, Semra Isik, Ali Fatih Ramazanoglu
    Egyptian Journal of Neurosurgery.2026;[Epub]     CrossRef
  • A challenge diagnosis of lumbar synovial facet cyst. A case report
    Zayed Filali, Amine Briki, Souad Ferjani, Yassine Aloui, Oubaidallah Moulahi, Naoufel Haddad
    International Journal of Surgery Case Reports.2024;[Epub]     CrossRef
  • Bilateral ganglion cysts at L4/5 causing central canal stenosis and producing sciatica and neurogenic claudication: a case report
    CM Allison, G Bonanos, A Varma
    The Annals of The Royal College of Surgeons of England.2022; 104(2): e41.     CrossRef
  • Transforaminal Epiduroscopic Laser Ablation for Removal of a Postlaminectomy Synovial Cyst: A Case Report
    Hee Yong Kang, So Yeon Kim, Chung Hun Lee, Sung Wook Park
    Medicina.2020; 56(5): 209.     CrossRef
  • Juxta Facet Cyst Associated with Lumbar Laminectomy
    Yoshiyuki Takaishi, Hirofumi Iwahashi, Naoto Nakamura, Takeshi Kondoh, Atsushi Uyama, Atsushi Arai
    Spinal Surgery.2018; 32(3): 311.     CrossRef
  • Hemorrhagic Lumbar Synovial Cyst after Microscopic Discectomy
    Hak Sung Kim, Seok Won Kim
    Korean Journal of Spine.2017; 14(3): 93.     CrossRef
  • 9,905 View
  • 110 Download
  • 6 Crossref
Rare Thoracolumbar Facet Synovial Cyst Presenting as Paraparesis
Anshul Dahuja, Gitanshu Dahuja, Rashmeet Kaur
Korean J Spine 2015;12(3):193-195.   Published online September 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.3.193

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Rare Thoracolumbar Facet Synovial Cyst Presenting as Paraparesis
Korean J Spine. 2015;12(3):193-195.   Published online September 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.3.193
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Rare Thoracolumbar Facet Synovial Cyst Presenting as Paraparesis
Korean J Spine. 2015;12(3):193-195.   Published online September 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.3.193
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Spinal cord compressing syndrome due to synovial cyst (SC) of the thoracolumbar spine is a rare clinical condition. In this report we aim to heighten awareness of the thoracolumbar facet synovial cyst as a possible cause of thoracic myelopathy. The SC was removed thoroughly by laminectomy. The patient had an excellent recovery. The etiological and therapeutic aspects are discussed.

Citations

Citations to this article as recorded by  Crossref logo
  • A Case Report of a Rare Cervical Synovial Cyst at the C7-T1 Level
    Angel Parushev, Bogomil Iliev, Deyan Dzhenkov, Nadezhda Stefanova, Yanko G Yankov, Mustafa Ali, Yavor Enchev
    Cureus.2025;[Epub]     CrossRef
  • Synovial Cyst of Thoracic Spine: A Systematic Literature Review and Meta-Analysis
    Prabin Shrestha, Satoshi Yamaguchi, Jangbo Lee, Hiroyuki Oya, Hiroto Kawasaki, Kirill V. Nourski, Matthew A. Howard, Patrick W. Hitchon
    World Neurosurgery.2025; 202: 124385.     CrossRef
  • Mid thoracic intra-spinal facet cyst with lumbar canal stenosis: a rare ‘double crush’
    Abhinandan Reddy Mallepally, Nandan Marathe, Jeevan Kumar Sharma, Bibhudendu Mohaptra, Kalidutta Das
    International Journal of Neuroscience.2023; 133(5): 567.     CrossRef
  • Neuropathic pain due to compression of cervical medial branch by cervical Juxtafacet cyst: A case report
    Yoon Mok Chun, Mathieu Boudier‐Revéret, Sang Ho Lee, Min Cheol Chang
    Pain Practice.2022; 22(7): 662.     CrossRef
  • Rapid Neurologic Deterioration due to an Enlarging Thoracic Spine Synovial Cyst
    Mark J. Lambrechts, Christina L. Goldstein
    JBJS Case Connector.2020; 10(2): e0627.     CrossRef
  • Upper Thoracic Spine Synovial Cyst Resulting in Paraplegia Following Transient Hypotension
    Bradley T Schmidt, Andrea L Strayer, James A Stadler
    Cureus.2020;[Epub]     CrossRef
  • Sudden Onset of Paraparesis Caused by a Hemorrhagic Thoracic Synovial Cyst
    Andrew Tompkins, Arjun Chandran, Christopher Lind, Alexandre Simonin
    World Neurosurgery.2019; 132: 326.     CrossRef
  • An Unconventional and Novel Therapeutic Technique of Anterior Indirect Decompression in a Case of C6–C7 Synovial Cyst Associated with Radiculopathy
    BharatR Dave, Gayadhar Behera, Yash Shah, Ajay Krishnan
    Indian Spine Journal.2019; 2(2): 190.     CrossRef
  • Spinal synovial cysts. A case series and current treatment options
    Konstantinos M. Themistoklis, Themistoklis I. Papasilekas, Konstantinos A. Boviatsis, Dimitrios A. Giakoumettis, Eustathios N. Vlachakis, Marios S. Themistocleous, Damianos E. Sakas, Stefanos I. Korfias
    Journal of Clinical Neuroscience.2018; 57: 173.     CrossRef
  • Atypical presentation of a cervical synovial cyst
    Daniela Linhares, João Lobo, Rui Pinto, Nuno Neves
    European Spine Journal.2017; 26(9): 2267.     CrossRef
  • 11,620 View
  • 87 Download
  • 10 Crossref
Hemorrhagic Synovial Cyst Associated with Rheumatoid Atlantoaxial Subluxation
Jae Jon Sheen, Dong Kwang Seo, Seung Chul Rhim, Seung Ho Choi
Korean J Spine 2013;10(2):85-87.   Published online June 30, 2013
DOI: https://doi.org/10.14245/kjs.2013.10.2.85

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Hemorrhagic Synovial Cyst Associated with Rheumatoid Atlantoaxial Subluxation
Korean J Spine. 2013;10(2):85-87.   Published online June 30, 2013
DOI: https://doi.org/10.14245/kjs.2013.10.2.85
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Hemorrhagic Synovial Cyst Associated with Rheumatoid Atlantoaxial Subluxation
Korean J Spine. 2013;10(2):85-87.   Published online June 30, 2013
DOI: https://doi.org/10.14245/kjs.2013.10.2.85
Close

Synovial cyst on prevertebral space of C1-2 joint is rare but may be associated hemorrhagic event. We describe a case of a 72-year-old woman who presented with sudden severe headache in her left occipital area with dyspnea. She had rheumatoid arthritis for 14-years. Large hemorrhagic cystic mass was seen around prevertebral space of the atlantoaxial joint on the left side on cervical MRI (magnetic resonance image) and it obstructed the nasopharyngeal cavity. Aspiration of the cystic lesion was performed via transoral approach, followed by posterior occipito-cervical fusion. The specimen was xanthochromic, suggesting old hemorrhage. The patient was tolerable on her postoperative course and showed good respiration and relieved headache. We suggest that repeated microtrauma due to atalantoaxial subluxation associated with rheumatoid arthritis as a main cause of hemorrhagic event on the cyst.

Citations

Citations to this article as recorded by  Crossref logo
  • Atlantoaxial joint involvement in rheumatoid arthritis: clinical and imaging features
    A. R. Iuskaeva, S. A. Lapshina, R. Z. Abdrakipov, E. V. Sukhorukova, Z. N. Gabdullia, E. S. Zamanova, V. I. Anisimov, E. I. Bogdanov, D. I. Abdulganieva
    Modern Rheumatology Journal.2026; 20(2): 42.     CrossRef
  • An Updated Review on Treatment of Cervical Synovial Cyst
    Tzu-Chiang Peng, Ping-Chuan Liu, Chih-Chang Chang, Hsuan-Kan Chang, Chin-Chu Ko, Tsung-Hsi Tu, Li-Yu Fay, Jau-Ching Wu, Wen-Cheng Huang, Chao-Hung Kuo
    World Neurosurgery.2025; 193: 35.     CrossRef
  • Retro-odontoid pseudotumor presenting double layer on MRI: A case report
    Ryo Kanematsu, Junya Hanakita, Toshiyuki Takahashi, Manabu Minami, Izumi Suda, Sho Nakamura, Shu Takeuchi, Yoshitaka Tsujimoto
    Surgical Neurology International.2022; 13: 446.     CrossRef
  • Anatomy and Biomechanics of Craniocervical Junction—The Mechanism of Non-rheumatoid Retro-odontoid Pseudotumor—
    Ryo Kanematsu, Junya Hanakita, Toshiyuki Takahashi, Manabu Minami, Ryotaro Otsuka, Wakiko Saruta, Hiroya Shimauchi
    Spinal Surgery.2021; 35(1): 16.     CrossRef
  • Cervical myelopathy caused by ventrally located atlanto-axial synovial cysts: An open quest for the safest and most effective surgical management. Case series and systematic review of the literature
    S. Chibbaro, A. Gubian, I. Zaed, F. Hajhouji, R. Pop, J. Todeschi, G. Bernard, P. Di Emidio, C.-H. Mallereau, F. Proust, M. Ganau
    Neurochirurgie.2020; 66(6): 447.     CrossRef
  • Multiple extra-articular synovial cysts accompanied by rheumatoid arthritis in the bilateral elbow joints
    Jingfeng Zhang, Junli Wang, Xiongwei Mao, Zhengang Li
    Medicine.2018; 97(7): e9879.     CrossRef
  • 10,895 View
  • 84 Download
  • 6 Crossref

Original Article

Correlation between the Symptomatic Lumbar Synovial Cyst and Facet Degeneration: Retrospective Study of 13 Surgical Cases.
Jin Kyu Choi, Kyeong Sik Ryu, Hongjae Lee, Kiyeol Lee, Chun Kun Park
Korean J Spine 2011;8(2):113-117.
DOI: https://doi.org/10.14245/kjs.2011.8.2.113

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Correlation between the Symptomatic Lumbar Synovial Cyst and Facet Degeneration: Retrospective Study of 13 Surgical Cases.
Korean J Spine. 2011;8(2):113-117.
DOI: https://doi.org/10.14245/kjs.2011.8.2.113
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Correlation between the Symptomatic Lumbar Synovial Cyst and Facet Degeneration: Retrospective Study of 13 Surgical Cases.
Korean J Spine. 2011;8(2):113-117.
DOI: https://doi.org/10.14245/kjs.2011.8.2.113
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OBJECTIVE
This retrospective study of 13 patients who underwent surgical treatment for symptomatic lumbar synovial cyst was performed to evaluate the clinical findings and pathogenesis of lumbar synovial cyst.
METHODS
The clinical characteristics of the patients were investigated by reviewing the hospital records, preoperative radiological images, and operation records. By observing preoperative CT scans Facet degeneration grade at the lesion and opposite side of pathologic level and adjacent levels were assessed and compared.
RESULTS
There were 5 males and 8 females (average 65.8 year-old). Six patients presented with low back pain and leg pain, and 7 patients presented only leg pain. Most common pathologic level was L4-5. All patients underwent the cyst resection with/without decompressive laminectomy or discectomy. The additional instrumentation was not performed in all patients. No complications or recurrence was observed during average 34.5 months follow-up. There was no significant difference of facet degeneration grade between the lesion side of pathologic level and opposite side of same level or lower adjacent level.
CONCLUSION
In the present study, all patients showed clinical improvement by the simple surgery without any instrumentation. No significant correlation between the occurrence of synovial cyst and the degeneration grade of facet joint was revealed.

Citations

Citations to this article as recorded by  Crossref logo
  • Radiologic Features and Surgical Outcome of Juxtafacet Cyst Associated with Degenerative Lumbar Disease
    Whoan Jeang Kim, Shann Haw Chang, Hwa Yeol Yang, Won Jo Kwon, Hwan Il Sung, Kyung Hoon Park, Won Sik Choy
    Journal of the Korean Orthopaedic Association.2017; 52(1): 65.     CrossRef
  • Synovial Chondromatosis of Dorsal Spine: Case Report of Rare Pathological Entity and Review
    Raviraj S. Ghorpade, Yadhu K. Lokanath
    Korean Journal of Spine.2016; 13(4): 196.     CrossRef
  • 5,046 View
  • 26 Download
  • 2 Crossref

Case Reports

The Expansion of Cervical Synovial Cyst after Trauma : A Case Report and Literature Review.
Kwang Wook Jo, Sang Don Kim, Ik Seong Park, Min Woo Baik
Korean J Spine 2009;6(3):205-206.

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The Expansion of Cervical Synovial Cyst after Trauma : A Case Report and Literature Review.
Korean J Spine. 2009;6(3):205-206.
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The Expansion of Cervical Synovial Cyst after Trauma : A Case Report and Literature Review.
Korean J Spine. 2009;6(3):205-206.
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We report a rare case that showed aggravation of neurological symptoms due to expansion of the synovial cyst at C7/T1 after several month of trauma and present the consideration of proper prevention and management. A 64-year old male was admitted by right arm weakness(GIV+) after a pedestrian traffic accident. According to computed tomography(CT) scan and electromyography(EMG), a brachial plexus injury was diagnosed and he was treated conservatively. After 7 months, he was re-admitted by the left side weakness(GIV-) with severe pain and magnetic resonance image(MRI) revealed the expanded cystic lesion at C7/T1 level which compressed the cord from left side. After administration of steroid, surgical resection was performed via posterior approach and partial laminectomy. The dural expansion was observed after total removal of cyst which was diagnosed as a pathologist and symptoms were completely recovered. Because of its possibility of expansion of the synovial cyst and critical myelopathic symptoms can be induced in cervical spine, immobilization should be in consideration for acute period of post-trauma, especially, in old-aged patients with degenerative facet joints. And surgical procedure should not be delayed if symptoms developed.
  • 4,156 View
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A Case of Spontaneous Regression of Lumbar Synovial Cyst and Literature Review.
Jong Chul Lee, Suk Hyung Kang, Seung Won Park
Korean J Spine 2010;7(3):212-214.

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A Case of Spontaneous Regression of Lumbar Synovial Cyst and Literature Review.
Korean J Spine. 2010;7(3):212-214.
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A Case of Spontaneous Regression of Lumbar Synovial Cyst and Literature Review.
Korean J Spine. 2010;7(3):212-214.
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There have been many reports about lumbar synovial cysts, discussing surgical or interventional treatment methods. However, there have been few reports about spontaneous regression of the cyst. We report a case of a lumbar synovial cyst that regressed spontaneously. To the best of our knowledge, this is the first report of a spontaneously regressed lumbar synovial cyst in Korea. The patient was a 59-year-old man who presented with a 6-month history of insidious pain onset in the lower back and right buttock. Upon MRI of the lumbar spine, grade 1 spondylolisthesis was revealed at the L4-5 level. An about 6mm-sized extradural cyst was detected at the medial side of the right L4-5 facet joint. His symptoms were disappeared upon facet block with 0.5% bupivacaine bilaterally at the L4-5 level. Six years later, he revisited our clinic due to low back pain and left leg radiating pain. Upon lumbar MRI, aggravated L4-5 spondylolisthesis with left-side disc protrusion was observed. However, we could not find the synovial cyst around the right L4-5 facet joint that had existed 6 years prior. The patient was treated conservatively because he refused surgery.
  • 4,587 View
  • 28 Download
Lumbar Radiculopathy Caused by Intraspinal Synovial Cyst: A Case Report.
Young Dae Cho, Dae Hyun Kim, Ki Hwan Choi
Korean J Spine 2008;5(1):36-38.

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Lumbar Radiculopathy Caused by Intraspinal Synovial Cyst: A Case Report.
Korean J Spine. 2008;5(1):36-38.
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Lumbar Radiculopathy Caused by Intraspinal Synovial Cyst: A Case Report.
Korean J Spine. 2008;5(1):36-38.
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A spinal synovial cyst is an uncommon lesion associated with degenerative spinal arthropathy. It can cause radicular symptoms and may masquerade clinically as other, more common entities. A 50-year-old female presented with an intraspinal synovial cyst at the L5-S1 level manifesting as lower back pain and right leg pain. The patient's clinical symptoms improved after surgical management. Intraspinal synovial cyst should be considered in the differential diagnosis of the patients presenting with acute radicular symptoms.
  • 4,143 View
  • 26 Download
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