Open Access, Peer-reviewed
pISSN 2093-4378
eISSN 2093-4386
    J Korean Soc Spine Surg. 2010 Sep;17(3):154-156. Korean.
    Published online Sep 30, 2010.
    https://doi.org/10.4184/jkss.2010.17.3.154
    ©Copyright 2010 Korean Society of Spine Surgery
    Case Report

    Discal Cyst of Lumbar Spine - A Case Report -

    Chae Chil Lee, M.D., Sung Do Cho, M.D., Sang Hoon Ko, M.D., Kwang Hwan Jung, M.D., Yoon Seok Youm, M.D., Sang Woo Kim, M.D., Ki Bong Park, M.D. and Jae Ryong Cha, M.D.
      • Department of Orthopedic Surgery, Ulsan University Hospital, Ulsan University College of Medicine, Ulsan, Korea.
    • Corresponding author: Jae Ryong Cha, M.D. Department of Orthopedic Surgery, Ulsan University Hospital, Ulsan University College of Medicine, 290-3 Jeonha-dong, Dong-gu, Ulsan 682-714 Korea. TEL: 82-52-250-7129, FAX: 82-52-235-2823, Email: jrcha@uuh.ulsan.kr
    Received July 30, 2009; Revised September 01, 2010; Accepted September 03, 2010.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Study Design

    This is a case report.

    Objective

    We present here a patient who had a discal cyst of the lumbar spine along with neurological symptoms.

    Summary of the Literature Review

    Discal cysts are intraspinal cysts that communicate with an adjacent intervertebral disc, and these are rare lesions that can cause lumbar radiculopathy. Because they are very rare, their natural history and the details of the therapeutic guidelines for the treatment of these cysts are still unknown.

    Material and Methods

    The patient complained of moderate lumbar pain and right lower extremity radiculopathy and he was administered conservative treatment for 5 months. But the radiculopathy became aggravated and he then underwent a hemilaminectomy, cyst decompression and discectomy.

    Results

    The radiculopathy disappeared and any signs of recurrence were not found on the follow up performed at 1 year.

    Conclusion

    Discal cyst is rare, but it can be treated successfully.

    Keywords
    Lumbar spine; Discal cyst

    Figures

    Fig. 1
    (A,B) Sagittal T2- and T1-weighted magnetic resonance image of the lumbar spine demonstrating an oval-shaped cyst originating from the right L3-4 disc.

    Fig. 2
    (A) Microscopic appearance of the cyst wall and associated soft tissue(left) and disc materials(right) (H&E, original magnification ×40). (B) There are fibrous connective tissues without epithelial lining cell layers. (H&E, original magnification ×100).

    References

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      1. Chiba K, Toyama Y, Matsumoto M, Maruiwa H, Watanabe M, Nishizawa T. Intraspinal cyst communicating with the intervertebral disc in the lumbar spine: discal cyst. Spine 2001;26:2112–2118.
      1. Tokunaga M, Aizawa T, Hyodo H, Sasaki H, Tanaka Y, Sato T. Lumbar discal cyst followed by intervertebral disc herniation: MRI findings of two cases. J Orthop Sci 2006;11:81–84.
      1. Murata K, Ikenaga M, Tanaka C, Kanoe H, Okuaaira S. Discal cysts of the lumbar spine: a case report. J Orthop Surg(Hong Kong) 2007;15:376–379.
      1. Lee HK, Lee DH, Choi CG, et al. Discal cyst of the lumbar spine: MR imaging features. Clin Imaging 2006;30:326–330.
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    MeSH Terms
    Decompression
    Diskectomy
    Follow-Up Studies
    Humans
    Intervertebral Disc
    Lower Extremity
    Natural History
    Radiculopathy
    Recurrence
    Spine
    Metrics
    Share
    Figures
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