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Transition of a herniated lumbar disc to lumbar discal cyst: A case report
BACKGROUND: Another rare cause of lower back pain with radiculopathy is the discal cyst. It is believed to arise from degeneration of a herniated disc, although many other theories of its origin have been proposed. Here, we report a patient with lower back pain/radiculopathy attributed originally to...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5054637/ https://www.ncbi.nlm.nih.gov/pubmed/27843689 http://dx.doi.org/10.4103/2152-7806.191081 |
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author | Bansil, Rohit Hirano, Yoshitaka Sakuma, Hideo Watanabe, Kazuo |
author_facet | Bansil, Rohit Hirano, Yoshitaka Sakuma, Hideo Watanabe, Kazuo |
author_sort | Bansil, Rohit |
collection | PubMed |
description | BACKGROUND: Another rare cause of lower back pain with radiculopathy is the discal cyst. It is believed to arise from degeneration of a herniated disc, although many other theories of its origin have been proposed. Here, we report a patient with lower back pain/radiculopathy attributed originally to a herniated lumbar disc, which transformed within 6 months into a discal cyst. CASE DESCRIPTION: A 42-year-old male had a magnetic resonance (MR) documented herniated lumbar disc at the L4-5 level. It was managed conservatively for 6 months, after which symptoms recurred and progressed. The follow-up MR study revealed a discal cyst at the L4-5 without residual herniated disc. Of interest, the cyst communicated with the L4-5 intervertebral disc, which was herniated under the posterior longitudinal ligament and the disc space. During surgery, the cyst was completely removed, and his symptoms/signs resolved. CONCLUSION: A discal cyst develops as pathological sequelae of a degenerated herniated disc. Although rare, these lesions must be considered among the differential diagnoses in young patients with radicular back pain. MR study clearly documents these lesions, and surgical excision of the cyst is the treatment of choice. |
format | Online Article Text |
id | pubmed-5054637 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-50546372016-11-14 Transition of a herniated lumbar disc to lumbar discal cyst: A case report Bansil, Rohit Hirano, Yoshitaka Sakuma, Hideo Watanabe, Kazuo Surg Neurol Int Surgical Neurology International: Spine BACKGROUND: Another rare cause of lower back pain with radiculopathy is the discal cyst. It is believed to arise from degeneration of a herniated disc, although many other theories of its origin have been proposed. Here, we report a patient with lower back pain/radiculopathy attributed originally to a herniated lumbar disc, which transformed within 6 months into a discal cyst. CASE DESCRIPTION: A 42-year-old male had a magnetic resonance (MR) documented herniated lumbar disc at the L4-5 level. It was managed conservatively for 6 months, after which symptoms recurred and progressed. The follow-up MR study revealed a discal cyst at the L4-5 without residual herniated disc. Of interest, the cyst communicated with the L4-5 intervertebral disc, which was herniated under the posterior longitudinal ligament and the disc space. During surgery, the cyst was completely removed, and his symptoms/signs resolved. CONCLUSION: A discal cyst develops as pathological sequelae of a degenerated herniated disc. Although rare, these lesions must be considered among the differential diagnoses in young patients with radicular back pain. MR study clearly documents these lesions, and surgical excision of the cyst is the treatment of choice. Medknow Publications & Media Pvt Ltd 2016-09-22 /pmc/articles/PMC5054637/ /pubmed/27843689 http://dx.doi.org/10.4103/2152-7806.191081 Text en Copyright: © 2016 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Surgical Neurology International: Spine Bansil, Rohit Hirano, Yoshitaka Sakuma, Hideo Watanabe, Kazuo Transition of a herniated lumbar disc to lumbar discal cyst: A case report |
title | Transition of a herniated lumbar disc to lumbar discal cyst: A case report |
title_full | Transition of a herniated lumbar disc to lumbar discal cyst: A case report |
title_fullStr | Transition of a herniated lumbar disc to lumbar discal cyst: A case report |
title_full_unstemmed | Transition of a herniated lumbar disc to lumbar discal cyst: A case report |
title_short | Transition of a herniated lumbar disc to lumbar discal cyst: A case report |
title_sort | transition of a herniated lumbar disc to lumbar discal cyst: a case report |
topic | Surgical Neurology International: Spine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5054637/ https://www.ncbi.nlm.nih.gov/pubmed/27843689 http://dx.doi.org/10.4103/2152-7806.191081 |
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