{"id":"2390a21e-106c-4181-b79a-e1a63045990b","slug":"waste-not-want-not-report-of-a-completely-calcified-c1-c2-juxtafacet-cyst-and-literature-review","title":"Waste not, want not: Report of a completely calcified C1-C2 juxtafacet cyst and literature review","authors":["Luca Ruggeri","Lara Brunasso","Giovanni Urrico","Raffaele Alessandrello","Giovanni Cinquemani","Rita Lipani","Jaime Mandelli","Francesco Nobile","Domenico Gerardo Iacopino","Rosario Maugeri"],"abstract":"Background: Calcified juxtafacet cysts in the cervical spine are extremely rate. Such symptomatic cysts commonly cause neck pain, radiculopathy, or even myelopathy. MR and CT studies typically document cord/ root compression. On occasion, some of these cysts will spontaneously regress, while many others may warrant surgical removal. Case Description: A 70-year-old male presented with a 2-year history of a progressive tetraparesis. The preoperative MR/CT studies showed a C1-C2 left extradural mass occupying more than half of the spinal canal. On MR, it was homogeneously hypointense on both T1- and T2-weighted images, while the CT showed a calcified cyst. Intraoperative and histopathological findings documented a calcified cervical juxtafacet cyst (i.e. ganglion subtype) that was fully excised without sequelae. Conclusion: C1-C2 juxtafacet cervical cyst should be considered when a patient presents with myelopathy due to a calcified MR/CT documented paraspinal lesion contributing to significant cervical cord/root compression.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/2390a21e-106c-4181-b79a-e1a63045990b/featured/hero-1781562177749.png","publishDate":"2021-07-27T00:00:00.000Z","doi":"10.25259/SNI_574_2021","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2021/07/11004/SNI-12-369.pdf"}