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Lee, Cho, Ko, Jung, Youm, Kim, Park, and Cha: Discal Cyst of Lumbar Spine - A Case Report -
Case Report

J Korean Soc Spine Surg 2010;17(3):154-156.

Published online: 18 September 2010

DOI: https://doi.org/10.4184/JKSS.2010.17.3.154

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., 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 E-mail: jrcha@uuh.ulsan.kr

Received 30 July 20091 September 2010       Accepted 3 September 2010

© Copyright 2010 Korean Society of Spine Surgery

“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

REFERENCES

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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.
jkss-17-154f1.tif
Fig. 2. (A)
Microscopic appearance of the cyst wall and associated soft tissue(left) and disc materials(right) (H&E, original magnification x40). (B) There are fibrous connective tissues without epithelial lining cell layers. (H&E, original magnification x100).
jkss-17-154f2.tif
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