A rare case of cervical facet joint and synovial cyst at C5/C6

Kevin Phan, Ralph J. Mobbs*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Lumbar synovial cysts are uncommon, and particularly rare at cervical levels. We report a 40-year-old woman who presented with pain distribution in the typical C6 dermatome. MRI revealed a right-sided large extradural cystic lesion adjacent to the C5/C6 facet joint that was hyperintense on T2-weighted MRI and hypointense on T1-weighted MRI. The patient underwent posterior cervical surgery at the C5/C6 level which involved posterior decompressive unilateral laminotomy and excision of the C5/C6 facet joint cyst. Following complete facetectomy of the right C5/C6 facet joint and exposure of the C6 nerve throughout its foraminal course, instrumented fusion was performed. Following the procedure, the patient had an uneventful recovery with relief of her radicular symptoms at follow-up clinical review.

Original languageEnglish
Pages (from-to)191-194
Number of pages4
JournalJournal of Clinical Neuroscience
Volume29
DOIs
Publication statusPublished - 1 Jul 2016
Externally publishedYes

Keywords

  • C5/C6
  • Cervical
  • Facet joint cyst
  • Fusion
  • Laminotomy
  • Synovial cyst

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