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Hypertrophic synovial mass resulting in C8 radiculopathy--case report.
- Source :
-
Neurologia medico-chirurgica [Neurol Med Chir (Tokyo)] 2010 Jan; Vol. 50 (1), pp. 73-6. - Publication Year :
- 2010
-
Abstract
- A 58-year-old man presented with a hypertrophic synovial mass manifesting as left C8 radiculopathy. Computed tomography revealed hypertrophic changes in the left C7-T1 facet joint and widening of the interarticular space. Magnetic resonance imaging showed left C7-T1 foraminal stenosis attributable to a periarticular mass enhanced with gadolinium. Decompression surgery of the left C8 nerve root was performed. During left C7-T1 facetectomy we detected inflamed soft tissue occupying the interarticular space with extension toward the intervertebral foramen. The mass markedly compressed the left C8 nerve root and was gross totally removed. The histological diagnosis was proliferated fibrous connective tissue compatible with hypertrophic synovial tissue. Postoperatively, his neurological condition improved remarkably. The surgical and pathological findings in our patient indicate that this clinical condition is important in the differential diagnosis in adult patients presenting with cervical radiculopathy.
- Subjects :
- Cervical Vertebrae diagnostic imaging
Cervical Vertebrae pathology
Cervical Vertebrae surgery
Contrast Media
Decompression, Surgical
Diagnosis, Differential
Gadolinium
Humans
Hypertrophy complications
Hypertrophy surgery
Laminectomy
Magnetic Resonance Imaging
Male
Middle Aged
Neurosurgical Procedures
Radiculopathy etiology
Radiculopathy surgery
Spinal Canal diagnostic imaging
Spinal Canal pathology
Spinal Canal surgery
Spinal Nerve Roots pathology
Spinal Nerve Roots surgery
Spinal Stenosis etiology
Spinal Stenosis surgery
Synovectomy
Tomography, X-Ray Computed
Treatment Outcome
Zygapophyseal Joint surgery
Hypertrophy pathology
Radiculopathy pathology
Spinal Stenosis pathology
Synovial Membrane pathology
Zygapophyseal Joint pathology
Subjects
Details
- Language :
- English
- ISSN :
- 1349-8029
- Volume :
- 50
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Neurologia medico-chirurgica
- Publication Type :
- Academic Journal
- Accession number :
- 20098033
- Full Text :
- https://doi.org/10.2176/nmc.50.73