{"id":"79e344b4-65d8-4f19-a923-50b1f942b63f","slug":"cervical-c7-ganglion-cyst-causing-compressive-myelopathy-a-rare-case-report","title":"Cervical C7 ganglion cyst causing compressive myelopathy: A rare case report","authors":["Charandeep Singh Gandhoke","Siu Kei David Mak","Nishal Kishinchand Primalani","Eng Tah Goh","Hwei Yee Lee","Colum Patrick Nolan"],"abstract":"Background: Juxtafacet cysts, synovial and ganglion cysts, emanate from the facet joints. Patients with these cysts are typically asymptomatic but may rarely present with radiculopathy and/or myelopathy. Case Description: A 72-year-old female presented with a 1-month history of progressive lower extremity weakness (left more than right), numbness, and urinary incontinence. Notably, she also had a C7 sensory level to pin appreciation of 1-month duration. The magnetic resonance imaging showed an extradural C7 cystic lesion whose capsule enhanced with gadolinium, causing severe cord compression. The patient underwent a left C7 hemilaminectomy for complete excision of the cyst; postoperatively in 2-weeks duration, she regained full neurological function. The final histopathology was consistent with a ganglion cyst. Conclusion: Cervical juxtafacet cysts rarely cause compressive myelopathy. They may be readily diagnosed and resected with excellent postoperative outcomes.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/79e344b4-65d8-4f19-a923-50b1f942b63f/featured/hero-1782420862865.png","publishDate":"2019-04-24T00:00:00.000Z","doi":"10.25259/SNI-153-2019","categories":["Spine","Case Report"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2019/04/9293/SNI-10-61.pdf"}