Hemorrhagic Cervical Synovial Cyst With Atypical Chest Pain Presentation

Authors

Thomas S. Lee, Physical Medicine and Rehabilitation, Sinai Hospital of Baltimore, Baltimore, USA.
Joseph J. Lee, Global Public Health and Biology, New York University College of Arts and Science, New York, USA.
Allyson Resnick, Physical Medicine and Rehabilitation, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
Ira M. Garonzik, Baltimore Neurosurgery and Spine Center, Sinai Hospital of Baltimore, Baltimore, USA.

Document Type

Journal Article

Publication Date

12-1-2024

Journal

Cureus

Volume

16

Issue

12

DOI

10.7759/cureus.75178

Keywords

case report; cervical facet; cervical synovial cyst; hemorrhagic cyst; non-cardiac chest pain

Abstract

Cervical synovial cysts are rare, especially hemorrhagic cervical synovial cysts. The patient was a 58-year-old male with a five-month history of tingling in his right shoulder region, radicular pain in his right arm, and increased pain on the right chest wall that worsened with lying supine down. The patient was diagnosed with a right-sided hemorrhagic synovial cyst at the C7-T1 level. In addition, we have a unique presentation of chest pain, when lying down from a musculoskeletal or neurological etiology instead of a cardiac etiology. The etiology of chest pain of this patient is atypical and not caused by angina. The patient underwent decompression surgery and cyst removal with total resolution of his pain and symptoms.

APA Citation

Lee, Thomas S.; Lee, Joseph J.; Resnick, Allyson; and Garonzik, Ira M., "Hemorrhagic Cervical Synovial Cyst With Atypical Chest Pain Presentation" (2024). GW Authored Works. Paper 6193.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/6193

Department

Neurology