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Successful Treatment of a Symptomatic Discal Cyst by Percutaneous C-arm Guided Aspiration

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-o...

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Detalles Bibliográficos
Autores principales: Yu, Hyun Jeong, Park, Chan Jin, Yim, Kyoung Hoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Pain Society 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4837119/
https://www.ncbi.nlm.nih.gov/pubmed/27103969
http://dx.doi.org/10.3344/kjp.2016.29.2.129
Descripción
Sumario: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.