Facet joint synovial cyst

Case contributed by Fakhry Mahmoud Ebouda , 29 Mar 2019
Diagnosis almost certain
Changed by Henry Knipe, 1 Apr 2019

Updates to Case Attributes

Age changed from 70 years. to 70 years.
Body was changed:

Spinal facet synovial cystcystss that are more common in elderly females (>50 years old). They are classically associated with osteoarthritis of the apophyseal facet joints. 

  • -<p>Spinal facet <a title="Spinal synovial cyst" href="/articles/spinal-synovial-cyst-1">synovial cyst</a>s that are more common in elderly females (&gt;50 years old). They are classically associated with osteoarthritis of the <a title="Zygapophyseal joint" href="/articles/intervertebral-joint">apophyseal</a> facet joints. </p><p><!--[if gte mso 9]><xml>
  • +<p>Spinal facet <a title="Spinal synovial cysts" href="/articles/spinal-synovial-cyst-1">synovial cysts</a> that are more common in elderly females (&gt;50 years old). They are classically associated with osteoarthritis of the <a href="/articles/intervertebral-joint">apophyseal</a> facet joints. </p><p><!--[if gte mso 9]><xml>

Systems changed:

  • Musculoskeletal

Updates to Study Attributes

Findings was changed:
  • Bilateral hypertrophic osteo-arthropathyosteoarthropathy of L5/S1 facet joint. An ovoid well defined intraspinal lesion is seen in relation to the anteromedial aspect of the left L5/S1 facet joint. It appears low signal on T1 and relatively high signal on T2 surrounded by low outline.

    • Associated hypertrophied ligamenta flava augment thecal compromise at that level.
    • Lower Lower lumbar apophyseal joints hypertrophic arthropathies from L3/4 down.

  • Multiple lumbar disc bulges are seen more at L4/5 level. They indent the opposing aspect of the thecal sac with encroachment upon preforaminal portion of the passing nerve roots at L4/5 levels.

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