Epidural bleeding secondary to a synovial cyst rupture: a case report and review of literature
- 3 September 2023
- journal article
- review article
- Published by Taylor & Francis Ltd in British Journal of Neurosurgery
- Vol. 37 (5), 1263-1265
- https://doi.org/10.1080/02688697.2020.1849547
Abstract
Hemorrhage into a juxtafacet cyst is rare and cyst rupture with hemorrhagic extension into the epidural space is even less commonly seen. We describe the case of a patient with a hemorrhagic synovial cyst with rupture associated to abundant bleeding in the epidural space. A 61-year-old man had a 5-month history of worsening low back pain radiating into the right leg with associated weakness and numbness. A magnetic resonance imaging scan showed the presence of a mild anterior spondylolisthesis of L5 on S1 with increased synovial fluid into both facet joints. A suspected synovial cyst of the right facet joint at level L5-S1, with signal characteristics consistent with hemorrhage was seen. Caudally, epidural blood was evident from S1 to S2 that involved spinal canal and right S1 and S2 foramens. These findings were confirmed at surgery.This publication has 5 references indexed in Scilit:
- Hemorrhagic lumbar synovial facet cyst secondary to transforaminal epidural injection: A case report and review of the literatureWorld Journal of Orthopedics, 2016
- Spontaneous Hemorrhage in an Upper Lumbar Synovial Cyst Causing Subacute Cauda Equina SyndromeOrthopedics, 2012
- Hemorrhagic Synovial Cyst: The Possible Role of Initial Trauma and Subsequent Microtrauma in Its Pathogenesis: Case ReportNeurosurgery, 2011
- Epidural hematoma secondary to a rupture of a synovial cystThe Spine Journal, 2005
- Hemorrhage into a lumbar synovial cyst causing an acute cauda equina syndromeJournal of Neurosurgery, 1994