Successful Treatment of a Symptomatic Discal Cyst by Percutaneous C-arm Guided Aspiration
The Korean Journal of Pain
; : 129-135, 2016.
Article
em En
| WPRIM
| ID: wpr-23573
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Pacientes Ambulatoriais
/
Exame Físico
/
Radiculopatia
/
Seguimentos
/
Dor Lombar
/
Discotomia
/
Articulação Zigapofisária
/
Disco Intervertebral
/
Manifestações Neurológicas
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Humans
Idioma:
En
Revista:
The Korean Journal of Pain
Ano de publicação:
2016
Tipo de documento:
Article