Successful Treatment of a Symptomatic Discal Cyst by Percutaneous C-arm Guided Aspiration.
10.3344/kjp.2016.29.2.129
- Author:
Hyun Jeong YU
1
;
Chan Jin PARK
;
Kyoung Hoon YIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Chungbuk National University Hospital, Cheongju, Korea. yimkhoon@naver.com
- Publication Type:Case Report
- Keywords:
Aspiration;
Discal cyst;
Injection;
Intervertebral disc;
Lumbar vertebra;
Radiculopathy
- MeSH:
Adult;
Diskectomy;
Follow-Up Studies;
Humans;
Intervertebral Disc;
Low Back Pain;
Neurologic Manifestations;
Outpatients;
Physical Examination;
Radiculopathy;
Zygapophyseal Joint
- From:The Korean Journal of Pain
2016;29(2):129-135
- CountryRepublic of Korea
- Language:English
-
Abstract:
Although discal cysts are a rare cause of low back pain and radiculopathy. Currently, surgical excision is usually the first-line treatment for discal cysts. However, alternative treatment methods have been suggested, as in some cases symptoms have improved with interventional therapies. A 27-year-old man presented with an acute onset of severe pain, and was found to have a discal cyst after an open discectomy. The patient underwent cyst aspiration and steroid injection through the facet joint under C-arm guidance. After the procedure, the patient's pain improved to NRS 0-1. On outpatient physical examination 1 week, and 1 and 3 months later, no abnormal neurological symptoms were present, and pain did not persist; thus, follow-up observation was terminated. When a discal cyst is diagnosed, it is more appropriate to consider interventional management instead of surgery as a first-line treatment, while planning for surgical resection if the symptoms do not improve or accompanying neurologic deficits progress.
