颈椎黄韧带神经节囊肿:脊髓病的罕见病因。临床观察及文献复习

I. V. Basankin, A. A. Gyulzatyan, S. B. Malakhov, V. G. Didenko, M. I. Tomina, I. E. Gritsaev
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引用次数: 0

摘要

关节突旁囊肿包括直接来自关节突囊的滑膜囊肿和起源于黄韧带的神经节囊肿。颈椎神经节囊肿是极为罕见的良性肿块。神经节囊肿包膜的内表面由成纤维细胞组成,与关节突关节包膜无解剖联系。磁共振成像是诊断黄韧带囊肿的首选方法,在T2加权图像上可见高强度圆形肿块,边缘清晰,无焦周水肿。在T1加权图像上,可以观察到等强信号,并且随着对比度增强,囊肿壁更容易积聚对比度。选择囊肿的手术治疗方法是将囊肿全部切除并保留后部椎体结构。手术治疗的结果是良好的,没有复发的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ligamentum flavum ganglion cyst of the cervical spine: a rare cause of myelopathy. Clinical observation and literature review
Juxtafacet cysts include both synovial cysts directly from the facet capsule and ganglion cysts arising from the ligamentum flavum. Ganglion cysts of the cervical spine are extremely rare benign masses. The inner surface of the capsule of ganglion cysts consists of fibroblasts and has no anatomical connection with the capsule of the facet joint. Magnetic resonance imaging is the method of choice for the diagnosis of ligamentum flavum cysts, with a hyperintense round mass on T2‑weighted images with clear margins and no perifocal edema. On T1‑weighted images, an isointense signal is noted, and with contrast enhancement, the cyst wall more often accumulates a contrast. The method of choice in the surgical treatment of cysts is their total removal with sparing bone resection of the posterior vertebral structures. The outcome of surgical treatment of these formations is good with no risk of recurrence.
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