Successful Treatment of a Symptomatic Discal Cyst by Percutaneous C-arm Guided Aspiration
The Korean Journal of Pain
;
: 129-135, 2016.
Article
in English
| WPRIM
| ID: wpr-23573
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Outpatients
/
Physical Examination
/
Radiculopathy
/
Follow-Up Studies
/
Low Back Pain
/
Diskectomy
/
Zygapophyseal Joint
/
Intervertebral Disc
/
Neurologic Manifestations
Type of study:
Diagnostic study
/
Practice guideline
/
Observational study
/
Prognostic study
Limits:
Adult
/
Humans
Language:
English
Journal:
The Korean Journal of Pain
Year:
2016
Type:
Article
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