Can lumbar hemorrhagic synovial cyst cause acute radicular compression? Case report

Timbó, Luciana Sátiro; Rosemberg, Laércio Alberto; Brandt, Reynaldo André; Peres, Ricardo Botticini; Nakamura, Olavo Kyosen; Guimarães, Juliana Frota

doi:10.1590/s1679-45082014rc3008

Cited by 6 publications

(3 citation statements)

References 10 publications

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“…Patients with degenerative changes in the lumbo-sacral region often present with pain and neurological deficits. However, benign cysts, such as discal, juxtafacet, and perineural cysts also commonly present with radiating pain because of their anatomical location, which can interfere with the traversing and exiting nerve roots [ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

A novel technique for managing symptomatic spinal cysts using epiduroscopic neural laser decompression: technical note and preliminary results

et al. 2018

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BackgroundBenign spinal cysts are relatively common, but can cause significant pain. However, consensus regarding the best method for treating these cysts has not been established. We aimed to examine the usefulness of epiduroscopic neural laser decompression (ENLD), a novel percutaneous treatment, for treating lumbo-sacral cysts.MethodsTen patients (6 men, 4 women; mean age 45.5 years) with benign lumbo-sacral cysts underwent ENLD. The lumbo-sacral cysts were caused by multiple pathophysiologies and displayed different characteristics. Cysts were evaluated using a recorded epiduroscopic procedure video, magnetic resonance imaging (MRI), and electronic medical records. In all patients, MRI identified cysts with well-defined margins that were compressing the nerves in the lumbo-sacral region and were associated with the pain symptoms of the patients. Retrospectively, we reviewed a series of consecutive patients who underwent surgery (two with discal cysts, four with facet cysts, and four with Tarlov cysts). Low back/leg pain was evaluated using a 1–10 visual analog scale. Functional improvement was evaluated using Oswestry Disability Index scores. Outcomes were evaluated pre- and post-operatively and 1 year post-surgery.ResultsPatients were examined between May 2016 and August 2017. Average pain scores improved from 4.7 pre-surgery to 1.8 post-surgery (low back; p < .001) and from 5.8 pre-surgery to 1.6 post-surgery (leg; p < .001). Disability scores decreased from 27.2% pre-surgery to 14.6% post-surgery.ConclusionCurrently, no standard treatment strategy for symptomatic spinal cysts exists. These results show that ENLD using a Holmium: YAG laser can be useful in treating symptomatic benign spinal cysts.Trial registrationNot applicable as this is a retrospective chart review.

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Section: Discussionmentioning

confidence: 99%

A novel technique for managing symptomatic spinal cysts using epiduroscopic neural laser decompression: technical note and preliminary results

et al. 2018

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“…Patients with degenerative changes in the lumbar facet joints are often present with low back pain. However, lumbar intraspinal facet or juxtafacet cysts are commonly present with radicular pain due to their proximity to the exiting and crossing nerve roots 6,7 . Rarely synovial cysts may cause cauda equina compression 8 .…”

Section: Discussionmentioning

confidence: 99%

“…increased mobility at this level, and to a lesser degree at the L5-S1 and L3-4 levels 1,11 . They are typically found postero-lateral to the dural sac, resulting in posterior compression of the nerve roots, which contrasts with the typical location of a herniated disc, which may be found ventral or ventro-lateral to the dural sac and/or nerve root 1,7,11 . Intra-operatively the synovial cysts are usually noted to be in proximity to their facet joints 11 .…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Ventral Lumbar Synovial Cyst Causing Cauda Equina Compression: Case Report and Literature Review

et al. 2017

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Lumbar Epidural Varix Causing Radicular Pain: A Case Report and Differential Diagnosis of Lumbar Cystic Lesions

Son

Kim

2018

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Lumbar epidural varices are a rare cause of radicular pain mimicking lumbar disc herniation or other cyst‐like masses including sequestrated disc herniation, facet joint synovial cyst, or perineural cyst. We report a case of a 36‐year‐old woman presenting with lumbar radicular pain caused by a lumbar epidural varix. Lumbar magnetic resonance imaging (MRI) revealed a cystic lesion in the ventral epidural space posterior to the right L4 body. Surgery was conducted and histopathology confirmed the diagnosis of an epidural varix. Lumbar epidural varices and other lumbar cystic lesions can commonly cause radicular pain. Physicians will benefit from increased awareness of epidural varices as a cause of lumbosacral radicular pain and the associated radiologic findings supporting differential diagnosis. In particular, careful interpretation of MRI scans may help ensure proper diagnosis of an epidural varix versus other cystic lesions.Level of EvidenceV

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Can lumbar hemorrhagic synovial cyst cause acute radicular compression? Case report

Cited by 6 publications

References 10 publications

A novel technique for managing symptomatic spinal cysts using epiduroscopic neural laser decompression: technical note and preliminary results

A novel technique for managing symptomatic spinal cysts using epiduroscopic neural laser decompression: technical note and preliminary results

Ventral Lumbar Synovial Cyst Causing Cauda Equina Compression: Case Report and Literature Review

Lumbar Epidural Varix Causing Radicular Pain: A Case Report and Differential Diagnosis of Lumbar Cystic Lesions

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