Ligamentum flavum ganglion cyst of the cervical spine: a rare cause of myelopathy. Clinical observation and literature review
https://doi.org/10.17650/1683-3295-2023-25-3-88-92
Abstract
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.
About the Authors
I. V. Basankin
Research Institute – S.V. Ochapovsky Regional Clinical Hospital No. 1, Ministry of Health of Krasnodar
Russian Federation
Russian Federation
167 1 Maya St., Krasnodar 350086
A. A. Gyulzatyan
Research Institute – S.V. Ochapovsky Regional Clinical Hospital No. 1, Ministry of Health of Krasnodar
Russian Federation
Russian Federation
Abram Akopovich Gyulzatyan
167 1 Maya St., Krasnodar 350086
S. B. Malakhov
Research Institute – S.V. Ochapovsky Regional Clinical Hospital No. 1, Ministry of Health of Krasnodar
Russian Federation
Russian Federation
V. G. Didenko
Kuban State Medical University, Ministry of Health of Russia
Russian Federation
Russian Federation
4 Mitrofana Sedina St., Krasnodar 350063
M. I. Tomina
Research Institute – S.V. Ochapovsky Regional Clinical Hospital No. 1, Ministry of Health of Krasnodar
Russian Federation
Russian Federation
167 1 Maya St., Krasnodar 350086
I. E. Gritsaev
Research Institute – S.V. Ochapovsky Regional Clinical Hospital No. 1, Ministry of Health of Krasnodar
Russian Federation
Russian Federation
167 1 Maya St., Krasnodar 350086
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Review
For citations:
Basankin I.V., Gyulzatyan A.A., Malakhov S.B., Didenko V.G., Tomina M.I., Gritsaev I.E. Ligamentum flavum ganglion cyst of the cervical spine: a rare cause of myelopathy. Clinical observation and literature review. Russian journal of neurosurgery. 2023;25(3):88-92. (In Russ.) https://doi.org/10.17650/1683-3295-2023-25-3-88-92
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