December Case of the Month
Clinical History:
61 year old male with severe low back pain radiating into the right leg.
View Diagnosis
Primary Diagnosis
"Classic" synovial cyst arising from facet joint.Secondary Diagnosis
N/ADiagnosis Discussion
A synovial cyst is a relatively uncommon cause of spinal stenosis in the lumbar spine. It is a benign condition, and the symptoms and level of pain or discomfort may remain stable for many years. Synovial cysts are benign, fluid-filled sacs that develop in the facet joints of the lumbar spine as a result of degeneration. If large enough, these sacs can cause spinal stenosis - a narrowing of the spinal canal that places pressure on spinal nerves and causes pain. A synovial cyst is a fluid-filled sac that develops as a result of degeneration in the spine. Because a synovial cyst develops from degeneration it is not often seen in younger patients. The pre-requisite is advanced degeneration of the facet articulation. The fluid-filled sac creates pressure inside the spinal canal and this in turn can give a patient all the symptoms of spinal stenosis.General Anatomic Area:
LumbarSecondary Anatomic Area:
N/ADisease Category:
DegenerativeContributor:
AE Flanders, MDDate:
12/01/2004Difficulty Level:
EasyPathology Confirmed?:
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