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Lumbar Synovial Cysts: Magnetic Resonance Imaging Evaluation

腰椎滑液囊腫之磁振造影評估

摘要


腰椎滑液囊腫是一種臨近於關節面少見的疾病。我們回溯了五例腰椎滑液囊腫的病例,臨床上皆以下背神經根被壓迫的症狀來表現,而其磁振造影的表現都是位於硬膜之外,貼近於關節,含液體的囊狀病灶。其中2位病人只接受保守性治療,症狀得到緩解,此2例隨後接受再次磁振掃描檢查,嶺現囊狀病灶已消失。另3例接受囊狀病灶切除,症狀亦得到緩解。

關鍵字

脊椎 囊腫 磁振造影

並列摘要


Intraspinal synovial cyst of the lumbar spine is an uncommon degenerative lesion near the facet joint. Clinical manifestations and magnetic resonance images (MRI) of five patients with lumbar radiculopathy were retrospectively reviewed. Extradural, juxtafacet cystic lesions were noted on MRI all the patients and they presented on MRI as fluid-containing lesions with close relation to the facet joints. Two patients received conservative treatment and the symptoms were subjectively relieved. Subsequent MRI examinations of these two patients did not show the cystic lesions. Posterior decompression with excision of the cyst was performed on the other three patients and the symptoms were resolved after the operations. The diagnosis of synovial cyst may be considered in patients with chronic lumbar radiculopathy and the MRI findings showing juxtafacet cystic lesions, and the lesions become smaller or disappear after conservative management.

並列關鍵字

spine, cyst spine, MR magnetic resonance MR

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