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J Neurol Neurosurg Psychiatry 2008;79:947 doi:10.1136/jnnp.2007.127134
  • Neurological picture

An unusual cause of cord compression: synovial cyst of the thoracic spine

  1. A Pratesi1,
  2. A Ginestroni1,
  3. R Padovani2,
  4. M Mascalchi1
  1. 1
    Radiodiagnostic Section, Department of Clinical Physiopathology, University of Florence, Florence, Italy
  2. 2
    Department of Neurosurgery, S Anna Hospital Ferrara, Italy
  1. Professor M Mascalchi, Radiodiagnostic Section, Department of Clinical Physiopathology, University of Florence, Viale Morgagni 50100, Firenze, Italia; m.mascalchi{at}dfc.unifi.it

    A 71-year-old man with chronic back pain had acute pain exacerbation, followed in the next month by progressive weakness of the right thigh. Neurological examination revealed myelopathy with a sensory level at T11. Spinal MRI (fig 1) revealed a well demarcated oval shaped lesion contiguous with the right T11–T12 facet joint causing dislocation and compression of the spinal cord that showed a subtle hyperintensity on T2 weighted images (TR/TE 3500/120). The lesion …

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