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Can lumbar hemorrhagic synovial cyst cause acute radicular compression? Case report

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Bibliographic Details
Summary:Lumbar synovial cysts are an uncommon cause of back pain and radiculopathy, usually manifesting with gradual onset of symptoms, secondary to involvement of the spinal canal. Rarely, intracyst hemorrhage occurs, and may acutely present as radicular - or even spinal cord - compression syndrome. Synovial cysts are generally associated with degenerative facets, although the pathogenesis has not been entirely established. We report a case of bleeding complication in a synovial cyst at L2-L3, adjacent to the right interfacet joint, causing acute pain and radiculopathy in a patient on anticoagulation therapy who required surgical resection.
Main Authors:Timbó,Luciana Sátiro
Other Authors:Rosemberg,Laercio Alberto; Brandt,Reynaldo André; Peres,Ricardo Botticini; Nakamura,Olavo Kyosen; Guimarães,Juliana Frota
Subject:Spinal diseases Synovial cyst/surgery Synovial cyst/complications Hematoma Nerve compression syndromes/etiology Magnetic resonance imaging Case reports
Year:2014
Country:Brazil
Document type:article
Access type:open access
Associated institution:IBICT
Language:English
Origin:Oasisbr
Description
Summary:Lumbar synovial cysts are an uncommon cause of back pain and radiculopathy, usually manifesting with gradual onset of symptoms, secondary to involvement of the spinal canal. Rarely, intracyst hemorrhage occurs, and may acutely present as radicular - or even spinal cord - compression syndrome. Synovial cysts are generally associated with degenerative facets, although the pathogenesis has not been entirely established. We report a case of bleeding complication in a synovial cyst at L2-L3, adjacent to the right interfacet joint, causing acute pain and radiculopathy in a patient on anticoagulation therapy who required surgical resection.

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