Vacuum Epidural Cyst with Acute Neurological Presentation

Abstract

The widespread use of MRI in the assessment of low back pain has led to increased detection of degenerative cysts of the spine, which was essentially a surgical diagnosis earlier. The awareness of degenerative cysts, the significance of their role in the etiology of radicular and back pain and their effective management is evolving. We describe a case of bilateral, gas-filled lumbar facet synovial/ ganglion cysts causing focal arachnoid inflammation and lateral lumbar canal stenosis.

A Degenerative Intraspinal Cyst Mimicking a Nerve Root: A Case Report on an Intraoperative Challenge

“…In the literature, various types of cysts have been described in the lumbar canal 4,6,7) . These cysts are classified according to anatomical location (such as facet cysts or ligamentum flavum cysts) or pathology (such as synovial or ganglion cysts) 1,3,7) . Usual presentation of the spinal canal cysts are low back pain, claudication, radicular pain, motor weakness, dysasthesia all of which are secondary to the compression of the neural elements or narrowing of the canal 2,4,7) .…”

“…Many case reports of various types of degenerative cysts are available 3,4,7) . These cysts can surprise surgeons with their appearance and place a diagnostic challenge both preoperatively and intraoperatively.…”

Dujų sankaupos stuburo kanale sukelta nervinės šaknelės kompresija. Klinikinio atvejo pristatymas

“…Masy vios þar ny no ne kro zës at ve jais var tø ir me zen te ri në se ve no se gau siai su si kau pu sios du jos ga li mig ruo ti á stu bu ro vi di ná ve ni ná rez gi ná, ið ten -á epi du ri ná tar pà [11]. Du jos stu bu ro ka na le taip pat ga li kaup tis po gal vos ar stu bu ro trau mø, esant stu bu ro in fek ci nëms li goms, me ta sta zëms, po stu bu ro chi rur gi niø in ter ven ci jø ar diag nos ti niø in va ziniø pro ce dû rø [5,12].…”

“…Epi du ri nia me tar pe du jø in tar pai ið plin ta á ke lis stu bu ro ly gius ar ba for muo ja vie nà pseu do cis tà, ku ri ga li tu rë ti jun gia mo jo au di nio kap su lae [8,12,13]. Du jø san kau pa taip pat ga li bû ti ran da ma ir tarps lanks te li nio dis ko ið varþos frag men te [14].…”

“…Epi du ri nës du jø san kau pos su kel tos ner vi nës ðak ne lës kom pre si ja pa si reið kia skausmo sin dro mu, ðak ne lës dir gi ni mo simp to mais [15]. Skausmas pa û më ja sto vint, vaikð tant, ke liant daik tus, pa leng vë ja at si gu lus, së dint ar pa si len kus á prie ká [11,12]. Simp to mai re gre suo ja, kai du jos gráþ ta á tarps lanks te li ná dis kà pa keitus kû no pa dë tá [9].…”