Synovial cyst of the midthoracic spine.

نویسندگان

  • E E Awward
  • D S Martin
  • R D Bucholz
  • M Sundaram
چکیده

Over a period of 6 weeks , a 69-year-old woman had had gradual onset of low back pain with subsequent development of weakness in the right lower extremity and then numbness in the left lower extremity. Neurologic examination showed decreased sensation to pinprick in both lower extremities, starting at the umbilicus. Temperature and vibratory sensations were absent in the left lower extremity and decreased in the right lower extremity . Position sense was absent in the right lower extremity and decreased on the left. The patient denied any history of trauma. On motor examination, the left lower extremity was normal, and the right showed 3/5 weakness distally and 4/5 weakness proximally. Myelography (Fig. 1 A) showed narrowing of the spinal canal at T7-T8, caused primarily by a large posterior extradural defect. Compression from the anterior aspect was noted also and was thought to be the result of moderate posterior formation of osteophytes from the vertebral bodies. CT myelography (Fig . 1 B) showed narrowing of the canal , degenerative facet changes, and what appeared to represent hypertrophied ligamentum flavum. MR imaging at 1.5 T showed a cystic-appearing lesion posterior to the thecal sac. The lesion was slightly hyperintense relative to the CSF on T1weighted spin-echo 600/20/1 (TRfTEjexcitations) images and isoto slightly hyperintense relative to the CSF on T2* gradient-echo 750/ 50/1 (flip angle 30°) images (Figs . 1 C and 1 D). A hypointense margin

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عنوان ژورنال:
  • AJNR. American journal of neuroradiology

دوره 12 3  شماره 

صفحات  -

تاریخ انتشار 1991