Lumbar-sacral radiculopathy secondary to intraspinal synovial cyst
The presentation of a patient with acute low back pain and distal radiation to the lower extremities is often attributed to a herniated nucleus pulposus (NHP). The purpose of this report is to illustrate how an intraspinal lumbar synovial cyst can have a similar presentation. A 52-year-old man prese...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 1995-11, Vol.76 (11), p.1011-1013 |
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| creator | Marion, Philip Jordan Kahanovitz, Neil |
| description | The presentation of a patient with acute low back pain and distal radiation to the lower extremities is often attributed to a herniated nucleus pulposus (NHP). The purpose of this report is to illustrate how an intraspinal lumbar synovial cyst can have a similar presentation.
A 52-year-old man presented with low back pain with left lower extremity weakness and distal radiation. An electrodiagnostic evaluation was consistent with lumbar-sacral radiculopathy. Computed tomography and magnetic resonance imaging showed a synovial cyst of the L4-5 facet joint.
The patient underwent a L4-L5 laminotomy, synovial cyst excision, and decompression of the L5 nerve root.
There were no postoperative complications. The patient had residual left lower extremity numbness but gradually regained the strength of his left lower extremity. Intraspinal synovial cyst can mimic the clinical pattern of NHP.
An intraspinal lumbar synovial cyst can present with symptoms of nerve root compression. Given the presentation of lumbar-sacral radicular symptoms such as radiating pain, muscle weakness, and numbness, surgical excision of the lumbar synovial cyst remains the definitive treatment of choice. |
| doi_str_mv | 10.1016/S0003-9993(95)81039-0 |
| format | Article |
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A 52-year-old man presented with low back pain with left lower extremity weakness and distal radiation. An electrodiagnostic evaluation was consistent with lumbar-sacral radiculopathy. Computed tomography and magnetic resonance imaging showed a synovial cyst of the L4-5 facet joint.
The patient underwent a L4-L5 laminotomy, synovial cyst excision, and decompression of the L5 nerve root.
There were no postoperative complications. The patient had residual left lower extremity numbness but gradually regained the strength of his left lower extremity. Intraspinal synovial cyst can mimic the clinical pattern of NHP.
An intraspinal lumbar synovial cyst can present with symptoms of nerve root compression. Given the presentation of lumbar-sacral radicular symptoms such as radiating pain, muscle weakness, and numbness, surgical excision of the lumbar synovial cyst remains the definitive treatment of choice.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/S0003-9993(95)81039-0</identifier><identifier>PMID: 7487447</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Diagnosis, Differential ; Diseases of the osteoarticular system ; Electromyography ; Humans ; Intervertebral Disc Displacement - diagnosis ; Low Back Pain - etiology ; Low Back Pain - physiopathology ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - innervation ; Lumbar Vertebrae - pathology ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Sacrum - innervation ; Spinal Diseases - complications ; Spinal Diseases - diagnosis ; Spinal Diseases - surgery ; Synovial Cyst - complications ; Synovial Cyst - diagnosis ; Synovial Cyst - surgery ; Tomography, X-Ray Computed ; Tumors of striated muscle and skeleton</subject><ispartof>Archives of physical medicine and rehabilitation, 1995-11, Vol.76 (11), p.1011-1013</ispartof><rights>1995 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-c975c084556cc006998967695632556170428a7f3895901ea1ab4fd771deb2723</citedby><cites>FETCH-LOGICAL-c389t-c975c084556cc006998967695632556170428a7f3895901ea1ab4fd771deb2723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0003999395810390$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,3536,23910,23911,25119,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2922596$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7487447$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marion, Philip Jordan</creatorcontrib><creatorcontrib>Kahanovitz, Neil</creatorcontrib><title>Lumbar-sacral radiculopathy secondary to intraspinal synovial cyst</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>The presentation of a patient with acute low back pain and distal radiation to the lower extremities is often attributed to a herniated nucleus pulposus (NHP). The purpose of this report is to illustrate how an intraspinal lumbar synovial cyst can have a similar presentation.
A 52-year-old man presented with low back pain with left lower extremity weakness and distal radiation. An electrodiagnostic evaluation was consistent with lumbar-sacral radiculopathy. Computed tomography and magnetic resonance imaging showed a synovial cyst of the L4-5 facet joint.
The patient underwent a L4-L5 laminotomy, synovial cyst excision, and decompression of the L5 nerve root.
There were no postoperative complications. The patient had residual left lower extremity numbness but gradually regained the strength of his left lower extremity. Intraspinal synovial cyst can mimic the clinical pattern of NHP.
An intraspinal lumbar synovial cyst can present with symptoms of nerve root compression. Given the presentation of lumbar-sacral radicular symptoms such as radiating pain, muscle weakness, and numbness, surgical excision of the lumbar synovial cyst remains the definitive treatment of choice.</description><subject>Biological and medical sciences</subject><subject>Diagnosis, Differential</subject><subject>Diseases of the osteoarticular system</subject><subject>Electromyography</subject><subject>Humans</subject><subject>Intervertebral Disc Displacement - diagnosis</subject><subject>Low Back Pain - etiology</subject><subject>Low Back Pain - physiopathology</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - innervation</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Sacrum - innervation</subject><subject>Spinal Diseases - complications</subject><subject>Spinal Diseases - diagnosis</subject><subject>Spinal Diseases - surgery</subject><subject>Synovial Cyst - complications</subject><subject>Synovial Cyst - diagnosis</subject><subject>Synovial Cyst - surgery</subject><subject>Tomography, X-Ray Computed</subject><subject>Tumors of striated muscle and skeleton</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtLxDAQgIMo67r6E4QeRPRQzaNJmpPo4gsWPKjgLaRpipG2qUm70H9vdrfs1VMmmW8mMx8A5wjeIIjY7TuEkKRCCHIl6HWOIBEpPABzRAlOc4y-DsF8jxyDkxB-4pVRgmZgxrOcZxmfg4fV0BTKp0Fpr-rEq9LqoXad6r_HJBjt2lL5MeldYtveq9DZNmJhbN3axkCPoT8FR5WqgzmbzgX4fHr8WL6kq7fn1-X9KtUkF32qBaca5hmlTOs4iBC5YJwJygiOb4jDDOeKVxGmAiKjkCqyquQclabAHJMFuNz17bz7HUzoZWODNnWtWuOGIDlnGGEiIkh3oPYuBG8q2XnbxDUkgnLjTm7dyY0YKajcupMw1p1PHwxFY8p91SQr5i-mvApa1ZVXrbZhj2GBMRUsYnc7zEQZa2u8DNqaVpvSeqN7WTr7zyB_uMWKCQ</recordid><startdate>19951101</startdate><enddate>19951101</enddate><creator>Marion, Philip Jordan</creator><creator>Kahanovitz, Neil</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19951101</creationdate><title>Lumbar-sacral radiculopathy secondary to intraspinal synovial cyst</title><author>Marion, Philip Jordan ; Kahanovitz, Neil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-c975c084556cc006998967695632556170428a7f3895901ea1ab4fd771deb2723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Biological and medical sciences</topic><topic>Diagnosis, Differential</topic><topic>Diseases of the osteoarticular system</topic><topic>Electromyography</topic><topic>Humans</topic><topic>Intervertebral Disc Displacement - diagnosis</topic><topic>Low Back Pain - etiology</topic><topic>Low Back Pain - physiopathology</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - innervation</topic><topic>Lumbar Vertebrae - pathology</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Sacrum - innervation</topic><topic>Spinal Diseases - complications</topic><topic>Spinal Diseases - diagnosis</topic><topic>Spinal Diseases - surgery</topic><topic>Synovial Cyst - complications</topic><topic>Synovial Cyst - diagnosis</topic><topic>Synovial Cyst - surgery</topic><topic>Tomography, X-Ray Computed</topic><topic>Tumors of striated muscle and skeleton</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marion, Philip Jordan</creatorcontrib><creatorcontrib>Kahanovitz, Neil</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marion, Philip Jordan</au><au>Kahanovitz, Neil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lumbar-sacral radiculopathy secondary to intraspinal synovial cyst</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>1995-11-01</date><risdate>1995</risdate><volume>76</volume><issue>11</issue><spage>1011</spage><epage>1013</epage><pages>1011-1013</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>The presentation of a patient with acute low back pain and distal radiation to the lower extremities is often attributed to a herniated nucleus pulposus (NHP). The purpose of this report is to illustrate how an intraspinal lumbar synovial cyst can have a similar presentation.
A 52-year-old man presented with low back pain with left lower extremity weakness and distal radiation. An electrodiagnostic evaluation was consistent with lumbar-sacral radiculopathy. Computed tomography and magnetic resonance imaging showed a synovial cyst of the L4-5 facet joint.
The patient underwent a L4-L5 laminotomy, synovial cyst excision, and decompression of the L5 nerve root.
There were no postoperative complications. The patient had residual left lower extremity numbness but gradually regained the strength of his left lower extremity. Intraspinal synovial cyst can mimic the clinical pattern of NHP.
An intraspinal lumbar synovial cyst can present with symptoms of nerve root compression. Given the presentation of lumbar-sacral radicular symptoms such as radiating pain, muscle weakness, and numbness, surgical excision of the lumbar synovial cyst remains the definitive treatment of choice.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>7487447</pmid><doi>10.1016/S0003-9993(95)81039-0</doi><tpages>3</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Biological and medical sciences Diagnosis, Differential Diseases of the osteoarticular system Electromyography Humans Intervertebral Disc Displacement - diagnosis Low Back Pain - etiology Low Back Pain - physiopathology Lumbar Vertebrae - diagnostic imaging Lumbar Vertebrae - innervation Lumbar Vertebrae - pathology Magnetic Resonance Imaging Male Medical sciences Middle Aged Sacrum - innervation Spinal Diseases - complications Spinal Diseases - diagnosis Spinal Diseases - surgery Synovial Cyst - complications Synovial Cyst - diagnosis Synovial Cyst - surgery Tomography, X-Ray Computed Tumors of striated muscle and skeleton |
| title | Lumbar-sacral radiculopathy secondary to intraspinal synovial cyst |
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