Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Lumbar Intraspinal Extradural Ganglion Cysts

  • Cho, Sung-Min (Departments of Neurosurgery, Gangneung Asan Hospital, College of Medicine, University of Ulsan) ;
  • Rhee, Woo-Tack (Departments of Neurosurgery, Gangneung Asan Hospital, College of Medicine, University of Ulsan) ;
  • Choi, Soo-Jung (Departments of Diagnostic Radiology, Gangneung Asan Hospital, College of Medicine, University of Ulsan) ;
  • Eom, Dae-Woon (Departments of Pathology, Gangneung Asan Hospital, College of Medicine, University of Ulsan)
  • Published : 2009.07.31
Download PDF
⟨ Previous Next ⟩

Abstract

The lumbar intraspinal epidural ganglion cyst has been a rare cause of the low back pain or leg pain. Ganglion cysts and synovial cysts compose the juxtafacet cysts. Extensive studies have been performed about the synovial cysts, however, very little has been known about the ganglion cyst. Current report is about two ganglion cysts associated with implicative findings in young male patients. We discuss about the underlying pathology of the ganglion cyst based on intraoperative evidences, associated disc herniation at the same location or severe degeneration of the ligament flavum that the cyst originated from in young patients.

Keywords

References

  1. Asamoto S, Jimbo H, Fukui Y, Doi H, Sakagawa H, Ida M, et al. : Cyst of the ligamentum flavum-case report. Neurol Med Chir(Tokyo) 45 : 653-656, 2005 https://doi.org/10.2176/nmc.45.653
  2. Baba H, Furusawa N, Maezawa Y, Uchida K, Kokubo Y, Imura S, et al. : Ganglion cyst of the posterior longitudinal ligament causing lumbar radiculopathy: case report. Spinal Cord 35 : 632-635, 1997 https://doi.org/10.1038/sj.sc.3100442
  3. Boviatsis EJ, Staurinou LC, Kouyialis AT, Gavra MM, Stavrinou PC, Themistokleous M, et al. : Spinal synovial cysts : pathogenesis, diagnosis and surgical treatment in a series of seven cases and literature review. Eur Spine J 17 : 831-837, 2008 https://doi.org/10.1007/s00586-007-0563-z
  4. Brish A, Payan HM : Lumbar intraspinal extradural ganglion cyst. J Neurol Neurosurg Psychiatry 35 : 771-775, 1972 https://doi.org/10.1136/jnnp.35.6.771
  5. Cheng YY, Chen CC, Yang MS, Hung HC, Lee SK : Intraspinal extradural ganglion cyst of the cervical spine. J Formos Med Assoc 103 : 230-233, 2004
  6. Christophis P, Asamoto S, Kuchelmeister K, Schachenmayr W : 'Juxtafacet cysts', a misleading name for cystic formations of mibile spine (CYFMOS). Eur Spine J 16 : 1499-1505, 2007 https://doi.org/10.1007/s00586-006-0287-5
  7. Dagain A, Dulou R, Dutertre G, Delmas JM, Pouit B, de Soultrait F, et al. : Surgical management of synovial cyst of the lumbar spine : retrospective study of 52 patients. Rev Chir Orthop Reparatrice Appar Mot 94 : 289-296, 2008 https://doi.org/10.1016/j.rco.2007.11.003
  8. Doyle AJ, Merrilees M : Synovial cysts of the lumbar facet joints in a symptomatic population : prevalence on magnetic resonance imaging. Spine 29 : 874-878, 2004 https://doi.org/10.1097/00007632-200404150-00010
  9. Fujiwara A, Tamai K, An HS, Kurihashi T, Lim TH, Yoshida H, et al. : The relationship between disc degeneration, facet joint osteoarthritis, and stability of the degenerative lumbar spine. J Spinal Disord 13 : 444-450, 2000 https://doi.org/10.1097/00002517-200010000-00013
  10. Gazzeri R, Canova A, Fiore C, Galarza M, Neroni M, Giordano M : Acute hemorrhagic cyst of the ligamentum flavum. J Spinal Disord Tech 20 : 536-538, 2007 https://doi.org/10.1097/BSD.0b013e31804b4605
  11. Hsu KY, Zucherman JF, Shea WJ, Jeffrey 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
  12. Kao CC, Uihlein A, Bickel WH, Soule EH : Lumbar intraspinal extradural ganglion cyst. J Neurosurg 29 : 168-172, 1968 https://doi.org/10.3171/jns.1968.29.2.0168
  13. Khan AM, Synnot K, Cammisa FP, Girardi FP : Lumbar synovial cysts of the spine : an evaluation of surgical outcome. J Spinal Disorder Tech 18 : 127-131, 2005 https://doi.org/10.1097/01.bsd.0000156830.68431.70
  14. Kjerulf TD, Terry DW Jr, Boubelik RJ : Lumbar synovial or ganglion cysts. Neurosurgery 19 : 415-420, 1986 https://doi.org/10.1227/00006123-198609000-00013
  15. Kornberg M : Nerve root compression by a ganglion cyst of the lumbar anulus fibrosus. A case report. Spine 20 : 1633-1635, 1995 https://doi.org/10.1097/00007632-199507150-00013
  16. Lee Joe, Wisneski RJ, Lutz GE : A ganglion cyst causing lumbar radiculopathy in a baseball pitcher : a case report. Arch Phys Med Rehabil 81 : 837-839, 2000
  17. Lyons MK, Atkinson JL, Wharen RE, Deen HG, Zimmerman RS, Lemens SM : Surgical evaluation and management of lumbar synovial cysts : the Mayo Clinic experience. J Neurosurg 93 (1 Suppl) : 53-57, 2000
  18. 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
  19. Marshman LA, Benjamin JC, David KM, King A, Chawda SJ : 'Disc cysts' and 'Posterior longitudinal ligament ganglion cysts' : synonymous entities? Report of three cases and literature review. Neurosurgery 57 : E818, 2005
  20. M$\acute{e}$tellus P, Fuentes S, Adetchessi T, Levrier O, Flores-Parra I, Talianu D, et al. : Retrospective study of 77 patients harbouring lumbar synovial cysts : functional and neurological outcome. Acta Neurochir (Wien) 148 : 47-54; discussion 54, 2006 https://doi.org/10.1007/s00701-005-0650-z
  21. Sachdev VP, Savitz MH, Hindi AI, Goldstein HB : Synovial cysts of the lumbar facet joint. Mt Sinai J Med 58 : 125-128, 1991
  22. Tabaddor K, Sachs D, Llena JF, Testaiuti MA : Ganglion cyst of the odontoid process. Case report and review of the literatures. Spine 21 : 2019-2022,1996 https://doi.org/10.1097/00007632-199609010-00019

Cited by

  1. Brown-Sequard Syndrome Caused by a Cervical Synovial Cyst vol.55, pp.4, 2014, https://doi.org/10.3340/jkns.2014.55.4.215