Fast-Growing Cervical Juxtafacet Cyst Mimicking Epidural Hematoma: A Case Report. Issue 3 (21st July 2020)

• Record Type: Journal Article
• Authors: Tanishima, Shinji; Mihara, Tokumitsu; Takeda, Chikako; Ogawa, Shinya; Nagashima, Hideki
• Is Part Of: JBJS case connector. Volume 10:Issue 3(2020)
• Page Start: e20.00237
• Page End: e20.00237
• Publication Date: 2020-07-21
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.20.00237
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 75-year-old man, who was a carpenter, experienced neck pain and numbness in the upper and lower extremities while hammering a nail and later developed a gait disturbance. Initial magnetic resonance imaging (MRI) revealed a tumor-like mass at the C5 epidural space compressing the spinal cord. The first diagnosis was cervical epidural hematoma. The following day, the patient's symptom deteriorated. A second MRI revealed an increase in the size of the mass, and surgery was performed. Operative findings included a juxtafacet cyst. Conclusion: Repeated job-related load on the facet joint in this patient caused rapid progression of facet cysts, causing myelopathy similar to an epidural hematoma.