An Updated Review on Treatment of Cervical Synovial Cyst

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-10-28 DOI:10.1016/j.wneu.2024.09.135

Tzu-Chiang Peng , Ping-Chuan Liu , Chih-Chang Chang , Hsuan-Kan Chang , Chin-Chu Ko , Tsung-Hsi Tu , Li-Yu Fay , Jau-Ching Wu , Wen-Cheng Huang , Chao-Hung Kuo

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引用次数: 0

Abstract

Cervical synovial cyst (CSC) is a rare condition that often leads patients to seek medical attention due to cervical stenosis symptoms. There's ongoing debate about the best management strategy. To address this, a review of literature from the past 20 years (2003–2023) was conducted using keywords like "cervical synovial cyst," "cervical ganglion cyst," and "cervical juxtafacet cyst." Data on patient demographics, imaging characteristics, treatment methods, and clinical outcomes were collected. A total of 79 patients were diagnosed with CSCs, averaging 62.3 years old, with a slight male predominance (45 males, 34 females). Most cysts were located at the C1-2 and C7-T1 joints, with myelopathy being the most common symptom. Subaxial CSCs had a higher incidence of radiculopathy compared to axial CSCs. Most cases were treated surgically, with decompression performed with or without fusion. Patients generally reported symptom improvement regardless of the surgical method. Overall, surgical intervention effectively improved neurological symptoms associated with CSCs.

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治疗颈椎滑膜囊肿的最新综述。

颈椎滑膜囊肿（CSC）是一种罕见病，患者常因颈椎狭窄症状而就医。关于最佳治疗策略的争论一直存在。针对这一问题，我们使用 "颈椎滑膜囊肿"、"颈神经节囊肿 "和 "颈椎半侧囊肿 "等关键词对过去 20 年（2003-2023 年）的文献进行了回顾。研究收集了有关患者人口统计学、影像学特征、治疗方法和临床结果的数据。共有 79 名患者被确诊为 CSCs，平均年龄为 62.3 岁，男性略占多数（45 名男性，34 名女性）。大多数囊肿位于C1-2和C7-T1关节，脊髓病是最常见的症状。与轴向CSC相比，轴下CSC发生根性病变的几率更高。大多数病例都采用手术治疗，减压同时进行或不进行融合术。无论采用哪种手术方法，患者普遍反映症状有所改善。总体而言，手术干预能有效改善与CSC相关的神经症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.