Background: Calcified juxtafacet cysts in the cervical spine are extremely rate. Such symptomatic cysts commonly cause neck pain, radiculopathy, or even myelopathy. MR and CT studies typically document cord/ root compression. On occasion, some of these cysts will spontaneously regress, while many others may warrant surgical removal. Case Description: A 70-year-old male presented with a 2-year history of a progressive tetraparesis. The preoperative MR/CT studies showed a C1-C2 left extradural mass occupying more than half of the spinal canal. On MR, it was homogeneously hypointense on both T1- and T2-weighted images, while the CT showed a calcified cyst. Intraoperative and histopathological findings documented a calcified cervical juxtafacet cyst (i.e. ganglion subtype) that was fully excised without sequelae. Conclusion: C1-C2 juxtafacet cervical cyst should be considered when a patient presents with myelopathy due to a calcified MR/CT documented paraspinal lesion contributing to significant cervical cord/root compression.

Ruggeri L., Brunasso L., Urrico G., Alessandrello R., Cinquemani G., Lipani R., et al. (2021). Waste not, want not: Report of a completely calcified C1-C2 juxtafacet cyst and literature review. SURGICAL NEUROLOGY INTERNATIONAL, 12, 1-5 [10.25259/SNI_574_2021].

Waste not, want not: Report of a completely calcified C1-C2 juxtafacet cyst and literature review

Ruggeri L.;Brunasso L.;Urrico G.;Alessandrello R.;Cinquemani G.;Iacopino D.;
2021-07-27

Abstract

Background: Calcified juxtafacet cysts in the cervical spine are extremely rate. Such symptomatic cysts commonly cause neck pain, radiculopathy, or even myelopathy. MR and CT studies typically document cord/ root compression. On occasion, some of these cysts will spontaneously regress, while many others may warrant surgical removal. Case Description: A 70-year-old male presented with a 2-year history of a progressive tetraparesis. The preoperative MR/CT studies showed a C1-C2 left extradural mass occupying more than half of the spinal canal. On MR, it was homogeneously hypointense on both T1- and T2-weighted images, while the CT showed a calcified cyst. Intraoperative and histopathological findings documented a calcified cervical juxtafacet cyst (i.e. ganglion subtype) that was fully excised without sequelae. Conclusion: C1-C2 juxtafacet cervical cyst should be considered when a patient presents with myelopathy due to a calcified MR/CT documented paraspinal lesion contributing to significant cervical cord/root compression.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8422454/
Ruggeri L., Brunasso L., Urrico G., Alessandrello R., Cinquemani G., Lipani R., et al. (2021). Waste not, want not: Report of a completely calcified C1-C2 juxtafacet cyst and literature review. SURGICAL NEUROLOGY INTERNATIONAL, 12, 1-5 [10.25259/SNI_574_2021].
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10447/558892
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