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Lumbar Synovial Cyst: A Case Report from the Neurosurgery Department of the Idrissa Pouye General Hospital (HOGIP) in Dakar

Received: 2 January 2023     Accepted: 30 January 2023     Published: 29 May 2023
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Abstract

Introduction: Spinal synovial cyst is a rare lesion in the general population, the frequency of symptomatic synovial cysts in the population is between 0.5 and 2.3%. They are more frequent in the lumbar region, leading to unilateral or bilateral lumboradiculalgia. Diagnosis is made on imaging and treatment involves percutaneous techniques or surgery. We report a case of lumbar synovial cyst treated surgically. Observations: A 54-year-old female patient, with a history of gonarthrosis, was seen in consultation for a right lumbosciatica of type L5 associated with a painful radicular claudication reducing the walking perimeter evolving for about 1 year. On admission, the patient was found to be overweight with a positive Lasègue sign on the right and pain on extension of the spine. The CT scan revealed a rounded lesion at the right L4-L5 level and conflicting with the ipsilateral L5 root at its emergence, continuous with the joint space. The indication for surgery was based on the severity of the radicular pain. The postoperative course was simple, with pain regression the day after surgery. Conclusion: The lumbar synovial cyst is a rare lesion most often manifested by radiculalgia. The diagnosis is made on imaging and surgical removal is the standard treatment.

Published in International Journal of Neurosurgery (Volume 7, Issue 1)
DOI 10.11648/j.ijn.20230701.14
Page(s) 19-21
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Cyst, Synovial, Lumbar, Radiculalgia

References
[1] Khan AM, Synnot K, Cammisa FP, Girardi FP. Lumbar synovial cysts of the spine: an evaluation of surgical outcome. J Spinal Disord Tech 2005; 18: 127-31.
[2] Métellus P, Flores-Parra I, Fuentes S, Dufour H, Adetchessi T, Do L. Kystes synoviaux lombaires: aspects cliniques et prise en charge chirurgicale. Neurochirurgie 2003; 49: 73-82.
[3] Doyle AJ, Merrilees M. Synovial cysts of lumbar facet joints in a symptomatic population. Spine 2004; 29: 874-8.
[4] Métellus P, Fuentes S, Adetchessi T, et al. Retrospective study of 77 patients harbouring lumbar synovial cysts: functional and neurological outcome. Acta Neurochir (Wien) 2006; 148: 47-54.
[5] H. Ghannane, J.-J. Lemaire, J.-L. Kemeny, V. Mendes-Martins, J. Chazal. Kyste lombaire hémorragique juxta-articulaire à propos d’un cas. Neurochirurgie 2006, 52, n° 2-3, 138-141.
[6] Khan AM, Girardi F. Spinal lumbar synovial cysts. Diagnosis and management challenge. Eur Spine J 2006; 27: 1-7.
[7] Tummer M, Flaschka G, Tillich M, H Omann Cn, Unger F, E Ustachio S. Diagnosis and surgical management of intraspinal synovial cysts: reports of 19 cases. J Neurol Neurosurg Psychiatry 2001; 70: 74-77.
[8] A. Dagain, R. Dulou, G. Dutertre, J.-M. Delmas, B. Pouit, F. de Soultrait, P. Pernot. Prise en charge chirurgicale des kystes synoviaux lombaires: étude rétrospective concernant 52 patients. Revue de chirurgie orthopédique et réparatrice de l’appareil moteur (2008) 94, 289-296.
[9] G. Favre, R.-M. Javier-Moder, M. Hauber, G. Zoellner, A. Munoz, D. Maîtrot, J.-L. Dietemann, J.-L. Kuntz. Kyste synovial articulaire postérieur lombaire révélé par un syndrome pluriradiculaire: à propos de deux cas. La revue de médecine interne 25 (2004) 230-233.
[10] Lyons MK, Atkinson JLD, Wharen E, Deen G, Zimmerman RS, Lemens SM. Surgical evaluation and management of lumbar synovial cysts: the Mayo Clinic experience. J Neurosurg 2000; 93 (1 Suppl): 53-7.
[11] Epstein NE. Lumbar laminectomy for the resection of synovial cysts and coexisting lumbar spinal stenosis or degenerative spondylolisthesis: an outcome study. Spine 2004; 29: 1049-55.
[12] Apostolaki E, DaviesAM, Evans N, Casar-PullicinoVN. MR imaging of lumbar facet joint synovial cysts. Eur Radiol 2000; 10: 615-23.
[13] Phuong LK, Atkinson JLD, Thielen KR. Far lateral extraforaminal lumbar synovial cyst: report of two cases. Neurosurgery 2002; 51: 505-7.
[14] Koenigsberg RA. Percutaneous aspiration of lumbar synovial cyst: CT and MRI considerations. Neuroradiology 1998; 40: 272-3.
[15] Sabers SR, Ross SR, Grogg BE, Lauder TD. Procedurebased nonsurgical management of lumbar zygapophyseal joint cyst-induced radicular pain. Arch Phys Med Rehabil 2005; 86: 1767-71.
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  • APA Style

    Barry Louncény Fatoumata, Gaye Magatte, Thiam Omar, Faye Mohameth, Doumbia Nantenin, et al. (2023). Lumbar Synovial Cyst: A Case Report from the Neurosurgery Department of the Idrissa Pouye General Hospital (HOGIP) in Dakar. International Journal of Neurosurgery, 7(1), 19-21. https://doi.org/10.11648/j.ijn.20230701.14

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    ACS Style

    Barry Louncény Fatoumata; Gaye Magatte; Thiam Omar; Faye Mohameth; Doumbia Nantenin, et al. Lumbar Synovial Cyst: A Case Report from the Neurosurgery Department of the Idrissa Pouye General Hospital (HOGIP) in Dakar. Int. J. Neurosurg. 2023, 7(1), 19-21. doi: 10.11648/j.ijn.20230701.14

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    AMA Style

    Barry Louncény Fatoumata, Gaye Magatte, Thiam Omar, Faye Mohameth, Doumbia Nantenin, et al. Lumbar Synovial Cyst: A Case Report from the Neurosurgery Department of the Idrissa Pouye General Hospital (HOGIP) in Dakar. Int J Neurosurg. 2023;7(1):19-21. doi: 10.11648/j.ijn.20230701.14

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  • @article{10.11648/j.ijn.20230701.14,
      author = {Barry Louncény Fatoumata and Gaye Magatte and Thiam Omar and Faye Mohameth and Doumbia Nantenin and Gahito Codjo Edessessi Descartes Lebrun and Fondo Elhadji Ibrahima},
      title = {Lumbar Synovial Cyst: A Case Report from the Neurosurgery Department of the Idrissa Pouye General Hospital (HOGIP) in Dakar},
      journal = {International Journal of Neurosurgery},
      volume = {7},
      number = {1},
      pages = {19-21},
      doi = {10.11648/j.ijn.20230701.14},
      url = {https://doi.org/10.11648/j.ijn.20230701.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20230701.14},
      abstract = {Introduction: Spinal synovial cyst is a rare lesion in the general population, the frequency of symptomatic synovial cysts in the population is between 0.5 and 2.3%. They are more frequent in the lumbar region, leading to unilateral or bilateral lumboradiculalgia. Diagnosis is made on imaging and treatment involves percutaneous techniques or surgery. We report a case of lumbar synovial cyst treated surgically. Observations: A 54-year-old female patient, with a history of gonarthrosis, was seen in consultation for a right lumbosciatica of type L5 associated with a painful radicular claudication reducing the walking perimeter evolving for about 1 year. On admission, the patient was found to be overweight with a positive Lasègue sign on the right and pain on extension of the spine. The CT scan revealed a rounded lesion at the right L4-L5 level and conflicting with the ipsilateral L5 root at its emergence, continuous with the joint space. The indication for surgery was based on the severity of the radicular pain. The postoperative course was simple, with pain regression the day after surgery. Conclusion: The lumbar synovial cyst is a rare lesion most often manifested by radiculalgia. The diagnosis is made on imaging and surgical removal is the standard treatment.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Lumbar Synovial Cyst: A Case Report from the Neurosurgery Department of the Idrissa Pouye General Hospital (HOGIP) in Dakar
    AU  - Barry Louncény Fatoumata
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    AU  - Thiam Omar
    AU  - Faye Mohameth
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    AU  - Gahito Codjo Edessessi Descartes Lebrun
    AU  - Fondo Elhadji Ibrahima
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    DO  - 10.11648/j.ijn.20230701.14
    T2  - International Journal of Neurosurgery
    JF  - International Journal of Neurosurgery
    JO  - International Journal of Neurosurgery
    SP  - 19
    EP  - 21
    PB  - Science Publishing Group
    SN  - 2640-1959
    UR  - https://doi.org/10.11648/j.ijn.20230701.14
    AB  - Introduction: Spinal synovial cyst is a rare lesion in the general population, the frequency of symptomatic synovial cysts in the population is between 0.5 and 2.3%. They are more frequent in the lumbar region, leading to unilateral or bilateral lumboradiculalgia. Diagnosis is made on imaging and treatment involves percutaneous techniques or surgery. We report a case of lumbar synovial cyst treated surgically. Observations: A 54-year-old female patient, with a history of gonarthrosis, was seen in consultation for a right lumbosciatica of type L5 associated with a painful radicular claudication reducing the walking perimeter evolving for about 1 year. On admission, the patient was found to be overweight with a positive Lasègue sign on the right and pain on extension of the spine. The CT scan revealed a rounded lesion at the right L4-L5 level and conflicting with the ipsilateral L5 root at its emergence, continuous with the joint space. The indication for surgery was based on the severity of the radicular pain. The postoperative course was simple, with pain regression the day after surgery. Conclusion: The lumbar synovial cyst is a rare lesion most often manifested by radiculalgia. The diagnosis is made on imaging and surgical removal is the standard treatment.
    VL  - 7
    IS  - 1
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Author Information
  • Neurosurgery Department, Idrissa Pouye General Hospital, Dakar, Senegal

  • Neurosurgery Department, Idrissa Pouye General Hospital, Dakar, Senegal

  • Neurosurgery Department, Idrissa Pouye General Hospital, Dakar, Senegal

  • Neurosurgery Department, Idrissa Pouye General Hospital, Dakar, Senegal

  • Neurosurgery Department, Idrissa Pouye General Hospital, Dakar, Senegal

  • Neurosurgery Department, Idrissa Pouye General Hospital, Dakar, Senegal

  • Neurosurgery Department, Idrissa Pouye General Hospital, Dakar, Senegal

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