Lumbar hemorrhagic synovial cysts: diagnosis, pathogenesis, and treatment. Report of 3 cases

Surgical Neurology
Alessandro RamieriRoberto Delfini

Abstract

To define the etiologic, clinical, histological, and surgical features of lumbar hemorrhagic synovial cysts (LHSCs). Three personal cases are reported together with a review of the pertinent literature. We identified 3 cases of LHSC treated in our departments and 20 cases culled from the literature. A total of 23 cases of LHSC were selected. All the patients underwent surgical treatment because of untreatable radicular pain and/or neurological deficits. The amount of bleeding, either massive or minor but repeated, influenced the timing of surgery. In our cases, the histological examinations showed an inflammatory reaction within the cyst and the consequent formation of neoangiogenic vessels. Hemorrhagic synovial cyst of the spine is rare and its most common localization is lumbar. Bleeding within the cyst leads to an increase of its volume, accompanied by neurological deficits and/or painful symptoms that are violent and generally intractable. In this event, surgical excision is the treatment of choice and, in some cases, emergency surgery is necessary. Hemorrhages are probably caused by the rupture of fragile neoangiogenic vessels.

References

Dec 11, 1992·Science·A E KochR M Strieter
Dec 1, 1992·Spine·S E Cameron, D A Hanscom
Jul 1, 1991·Spine·W T YuhG el-Khoury
Feb 1, 1989·Radiology·D E JacksonD Norman
Jan 1, 1989·Neurosurgery·E F Eyster, W R Scott
Apr 1, 1988·Neurosurgery·B M Onofrio, A D Mih
Sep 1, 1986·Neurosurgery·T D KjerulfR J Boubelik
Feb 1, 1987·Neurosurgery·A JabreJ T Keller
Dec 1, 1972·Journal of Neurology, Neurosurgery, and Psychiatry·A Brish, H M Payan
Nov 1, 1994·Spine·S D HodgesL A Vrbos
Apr 1, 1993·Journal of Spinal Disorders·N E Epstein, R Hollingsworth
Jan 1, 1997·Acta neurochirurgica·M ArticoF Nucci
Oct 3, 1999·Journal of Neurosurgery·J U HowingtonR M Voorhies
Jun 16, 2000·The Journal of Bone and Joint Surgery. British Volume·K Kaneko, Y Inoue
Oct 3, 2000·British Journal of Neurosurgery·M RadatzT Powell
Jun 5, 2002·Spine·Sergio PaoliniAlessandro Ramieri

❮ Previous
Next ❯

Citations

Oct 28, 2016·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Zuo ZhenboLi Ming
Apr 5, 2008·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Efstathios J BoviatsisDamianos E Sakas
Feb 23, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Marta CicuendezAlfonso Lagares
May 22, 2010·The Spine Journal : Official Journal of the North American Spine Society·Ali BydonTimothy F Witham
May 6, 2008·Revue de chirurgie orthopédique et réparatrice de l'appareil moteur·A DagainP Pernot
Jul 1, 2014·The Journal of Spinal Cord Medicine·Osamu IkedaTatsuo Morinaga
Jul 20, 2011·British Journal of Neurosurgery·Oluwaseun SobowaleKonstantina Karabatsou
Feb 27, 2013·Neurologia Medico-chirurgica·Mario GanauAlberto Maleci
Mar 9, 2010·Journal of Orthopaedic Surgery and Research·Brett A FreedmanS Timothy Yoon
Jan 30, 2015·Einstein·Luciana Sátiro TimbóJuliana Frota Guimarães
Jun 3, 2017·Journal of Neurosurgery. Spine·Maurizio DomenicucciPaolo Missori
Mar 8, 2016·Asian Spine Journal·Haitham El-Beltagy Abd El-Kader
Jul 3, 2008·Spine·Mavilde ArantesManuela Costa
May 1, 2018·PM & R : the Journal of Injury, Function, and Rehabilitation·Il-Kyu ImDu Hwan Kim
Jan 25, 2013·Journal of Korean Neurosurgical Society·Hyun Seok ParkJun Bum Park
Oct 12, 2017·Korean Journal of Spine·Hak Sung Kim, Seok Won Kim
Apr 29, 2009·Journal of Orthopaedic Surgery·N MiyatakeT Sato
Jan 21, 2021·Spinal Cord Series and Cases·Lohit VelagapudiJames S Harrop
Aug 2, 2021·Clinical Imaging·Robert M Kwee, Thomas C Kwee

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Spine Journal : Official Journal of the North American Spine Society
Jason C Eck, Steven J Triantafyllou
Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Y Y WangM A Murphy
© 2021 Meta ULC. All rights reserved