Asynchrone Facettgelenks-Zyste nach Facettgelenks-Punktion: eine Falldemonstration

Zusammenfassung

Lumbale Facettgelenks-Zysten sind seltene Erkrankungen. Kausal werden Defekte in der Gelenkskapsel durch traumatische oder degenerative Veränderungen vermutet. Die Symptomatik reicht von einer Claudicatio spinalis bis zu neurologischen Ausfällen. Wir berichten über eine Patientin, die zeitversetzt eine kontralaterale Facettgelenks-Zyste nach chirurgischer Resektion entwickelte.

Abstract

Lumbar synovial cysts represent a rare condition, they are believed to arise from defects of the joint capsule due to degeneration, trauma, rheumatoid arthritis or spondylosis. The symptom spectrum ranges from neural claudication to neurological deficits. We report the case of a contralateral asynchronous facet joint cyst after surgical resection and review the literature.

Schlüsselwörter

Facettgelenks‐Zyste - Wirbelsäule - Facettgelenks‐Blockade - asynchrone

Key words

lumbar spine - facet joint cysts - spinal surgery - asynchronicity - facet‐joint injection

Literatur

• 1 Baker W M. On the formation of synovial cysts in the leg in connection with disease of the knee-joint.  St. Bartholomew's Hospital Reports. 1877;  13 245-261
• 2 Doyle A J, Merrilees M. Synovial cysts of the lumbar facet joints in a symptomatic population: prevalence on magnetic resonance imaging.  Spine. 2004;  29 874-878
• 3 Finkelstein S D, Sayegh R, Watson P, Knuckey N. Juxta-facet cysts. Report of two cases and review of clinicopathologic features.  Spine. 1993;  18 779-782
• 4 Gadgil A A, Eisenstein S M, Darby A, Cassar Pullicino V. Bilateral symptomatic synovial cysts of the lumbar spine caused by calcium pyrophosphate deposition disease: a case report.  Spine. 2002;  27 E428-E431
• 5 Hsu K Y, Zucherman J F, Shea W J, Jeffrey R A. Lumbar intraspinal synovial and ganglion cysts (facet cysts). Ten-year experience in evaluation and treatment.  Spine. 1995;  20 80-89
• 6 Metellus P, Fuentes S, Adetchessi T, Levrier O, Flores-Parra I, Talianu D, Dufour H, Bouvier C, Manera L, Grisoli F. Retrospective study of 77 patients harbouring lumbar synovial cysts: functional and neurological outcome.  Acta Neurochir (Wien). 2006;  148 47-54
• 7 Parlier-Cuau C, Wybier M, Nizard R, Champsaur P, Le Hir P, Laredo J D. Symptomatic lumbar facet joint synovial cysts: clinical assessment of facet joint steroid injection after 1 and 6 months and long-term follow-up in 30 patients.  Radiology. 1999;  210 509-513
• 8 Sabo R A, Tracy P T, Weinger J M. A series of 60 juxtafacet cysts: clinical presentation, the role of spinal instability, and treatment.  J Neurosurg. 1996;  85 560-565
• 9 Shaw M, Birch N. Facet joint cysts causing cauda equina compression.  J Spinal Disord Tech. 2004;  17 442-445
• 10 Trummer M, Flaschka G, Tillich M, Homann C N, Unger F, Eustacchio S. Diagnosis and surgical management of intraspinal synovial cysts: report of 19 cases.  J Neurol Neurosurg Psychiatry. 2001;  70 74-77
• 11 Vosschulte K, Borger G. [The inflammatory processes in sciatica due to intervertebral disk hernia].  Med Monatsschr. 1950;  4 371-375
• 12 Yarde W L, Arnold P M, Kepes J J, O'Boynick P L, Wilkinson S B, Batnitzky S. Synovial cysts of the lumbar spine: diagnosis, surgical management, and pathogenesis. Report of eight cases.  Surg Neurol. 1995;  43 459-464