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KMID : 0363120160290020129
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Korean Journal of Pain
2016 Volume.29 No. 2 p.129 ~ p.135
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Successful Treatment of a Symptomatic Discal Cyst by Percutaneous C-arm Guided Aspiration
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Yu Hyun-Jeong
Park Chan-Jin
Yim Kyoung-Hoon
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Abstract
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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.
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KEYWORD
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Aspiration, Discal cyst, Injection, Intervertebral disc, Lumbar vertebra, Radiculopathy
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