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Radiculopathy Caused by Discal Cyst

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초록

Discal cyst is an intraspinal cyst with a distinct communication with the corresponding intervertebral disc. It is a rare condition and could present with radiculopathy similar to that caused by lumbar disc herniation. We present a patient with a large discal cyst in the ventrolateral epidural space of the 5th lumbar vertebral (L5) level that communicated with the adjacent 4th lumbar and 5th lumbar intervertebral disc, causing L5 radiculopathy. We alleviated the radiating pain with selective transforaminal epidural blocks.

Abstract

Discal cyst is an intraspinal cyst with a distinct communication with the corresponding intervertebral disc. It is a rare condition and could present with radiculopathy similar to that caused by lumbar disc herniation. We present a patient with a large discal cyst in the ventrolateral epidural space of the 5th lumbar vertebral (L5) level that communicated with the adjacent 4th lumbar and 5th lumbar intervertebral disc, causing L5 radiculopathy. We alleviated the radiating pain with selective transforaminal epidural blocks.

참고문헌 (11)

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  7. Lee HK, "Discal cyst of the lumbar spine : MR imaging features", Clin Imaging, 30, pp.326~330 (2006)
  8. Demaerel P, "Spontaneous regression of an intraspinal disc cyst", Eur Radiol, 11, pp.2317~2318 (2001)
  9. Chou D, "Spontaneous regression of a discal cyst. Case report", J Neurosurg Spine, 6, pp.81~84 (2007)
  10. Prasad G, "Spontaneous resolution of discal cyst around L5 nerve root : case report and review of literature", Br J Neurosurg, 25, pp.761~763 (2011)
  11. Takeshima Y, "Lumbar discal cyst with spontaneous regression and subsequent occurrence of lumbar disc herniation", Neurol Med Chir (Tokyo), 51, pp.809~811 (2011)

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