Oğuz KARAEMİNOĞULLARI, Orçun ŞAHİN, Hüseyin DEMİRÖRS, Reha TANDOĞAN

Semptomatik lomber intraspinal sinovyal kist: Olgu sunumu

Juksta-faset kistleri adı verilen sinovyal ve gangliyon kistleri nadir görülen, radiküler semptomlarla disk hernilerini taklit edebilen intraspinal lezyonlardır. Yetmiş beş yaşında erkek hasta, altı aydır var olan ve son bir haftadır artış gösteren sol bacak ağrısı, ayakta uyuşma gibi radiküler şikayetlerle başvurdu. Fizik muayenede sol ekstansör hallusis longus güç kaybı (4/5), sol L4-5 hipoestezisi saptandı. Manyetik rezonans görüntülemede, L4-5 faset ekleminden kaynaklanan intraspinal kist görüldü. Hastaya medial fasetektomi ve kist eksizyonu uygulandı. Ameliyat sonrası erken dönemde ağrı yakınmaları geçen hastanın bir yıllık kontrolünde ekstansör hallusis longus güç kaybının düzeldiği ve nörolojik muayenesinin normal olduğu görüldü.

Anahtar Kelimeler:

Lumbar omurga, Lumbosakral bölge, Manyetik rezonans görüntüleme, Radikülopati, Sinoviyal kist, Omurilik

Symptomatic lumbar intraspinal synovial cyst: a case report

Synovial and ganglion cysts, also known as juxta-facet cysts, are intraspinal lesions that may mimic disc herniations and cause radicular symptoms. A 75-year-old male patient presented with a 6-month history of left leg pain and numbness in the foot that increased in severity within the past week. Physical examination showed motor deficit of the left extensor hallucis longus muscle (4/5) and hypoesthesia on the left L4-5 dermatomes. Magnetic resonance imaging revealed an intraspinal cyst originating from the L4-5 facet joint. Medial facetectomy and cyst excision were performed, which provided immediate relief of pain. He had no loss of strength of the extensor hallucis longus muscle and his neurologic examination was normal during the first postoperative year.

Keywords:

Lumbar Vertebrae, Lumbosacral Region, Magnetic Resonance Imaging, Radiculopathy, Synovial Cyst, Spinal Cord,

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