Subscribe to RSS

DOI: 10.4103/ajns.AJNS_27_18
Redefining the evolution of spinal discal cyst under percutaneous endoscopy: Report of two cases
Authors

Discal cyst has been recognized as a distinct cause of back pain and radiculopathy. The clinical features are similar to other pathologies as disc prolapse and stenosis. Various treatment modalities have been described, ranging from nerve blocks to surgical excision. There are scarce reports on the endoscopic appearance of discal cysts. The present paper based on two cases operated by transforaminal and interlaminar endoscopy at our institute demonstrates the explicit intraoperative view and different pathological components of discal cysts.
Key-words:
Discal cyst - discectomy - endoscopy - percutaneous endoscopic interlaminar lumbar discectomy - percutaneous endoscopic lumbar discectomy - percutaneous endoscopic transforaminal lumbar discectomyFinancial support and sponsorship
Nil.
Publication History
Article published online:
09 September 2022
© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Aydin S, Abuzayed B, Yildirim H, Bozkus H, Vural M. Discal cysts of the lumbar spine:
Report of five cases and review of the literature. Eur Spine J 2010;19:1621-6.
Reference Ris Wihthout Link
- 2 Takeshima Y, Takahashi T, Hanakita J, Watanabe M, Kitahama Y, Kuraishi K, et al.
Lumbar discal cyst with spontaneous regression and subsequent occurrence of lumbar
disc herniation. Neurol Med Chir (Tokyo) 2011;51:809-11.
Reference Ris Wihthout Link
- 3 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;15:376-9.
Reference Ris Wihthout Link
- 4 Kim SY. Radiculopathy caused by discal cyst. Korean J Pain 2014;27:86-9.
Reference Ris Wihthout Link
- 5 Ha SW, Ju CI, Kim SW, Lee S, Kim YH, Kim HS, et al. Clinical outcomes of percutaneous
endoscopic surgery for lumbar discal cyst. J Korean Neurosurg Soc 2012;51:208-14.
Reference Ris Wihthout Link
- 6 Kim SH, Ahn SS, Choi GH, Kim DH. Discal cyst of the lumbar spine: A case report.
Korean J Spine 2012;9:114-7.
Reference Ris Wihthout Link
- 7 Chiba K, Toyama Y, Matsumoto M, Maruiwa H, Watanabe M, Nishizawa T, et al. Intraspinal
cyst communicating with the intervertebral disc in the lumbar spine: Discal cyst.
Spine (Phila Pa 1976) 2001;26:2112-8.
Reference Ris Wihthout Link
- 8 Jeong GK, Bendo JA. Lumbar intervertebral disc cyst as a cause of radiculopathy.
Spine J 2003;3:242-6.
Reference Ris Wihthout Link
- 9 Kono K, Nakamura H, Inoue Y, Okamura T, Shakudo M, Yamada R, et al. Intraspinal extradural
cysts communicating with adjacent herniated disks: Imaging characteristics and possible
pathogenesis. AJNR Am J Neuroradiol 1999;20:1373-7.
Reference Ris Wihthout Link
- 10 Kobayashi S, Meir A, Kokubo Y, Uchida K, Takeno K, Miyazaki T, et al. Ultrastructural
analysis on lumbar disc herniation using surgical specimens: Role of neovascularization
and macrophages in hernias. Spine (Phila Pa 1976) 2009;34:655-62.
Reference Ris Wihthout Link
- 11 Koga H, Yone K, Yamamoto T, Komiya S. Percutaneous CT-guided puncture and steroid
injection for the treatment of lumbar discal cyst: A case report. Spine (Phila Pa
1976) 2003;28:E212-6.
Reference Ris Wihthout Link
- 12 Lee HK, Lee DH, Choi CG, Kim SJ, Suh DC, Kahng SK, et al. Discal cyst of the lumbar
spine: MR imaging features. Clin Imaging 2006;30:326-30.
Reference Ris Wihthout Link
- 13 Hwang JH, Park IS, Kang DH, Jung JM. Discal cyst of the lumbar spine. J Korean Neurosurg
Soc 2008;44:262-4.
Reference Ris Wihthout Link
- 14 Chou D, Smith JS, Chin CT. Spontaneous regression of a discal cyst. Case report.
J Neurosurg Spine 2007;6:81-4.
Reference Ris Wihthout Link
- 15 Demaerel P, Eerens I, Goffin J, Wilms G. Spontaneous regression of an intraspinal
disc cyst. Eur Radiol 2001;11:2317-8.
Reference Ris Wihthout Link
- 16 Kang H, Liu WC, Lee SH, Paeng SS. Midterm results of percutaneous CT-guided aspiration
of symptomatic lumbar discal cysts. AJR Am J Roentgenol 2008;190:W310-4.
Reference Ris Wihthout Link
- 17 Sairyo K, Egawa H, Matsuura T, Takahashi M, Higashino K, Sakai T, et al. State of
the art: Transforaminal approach for percutaneous endoscopic lumbar discectomy under
local anesthesia. J Med Invest 2014;61:217-25.
Reference Ris Wihthout Link
- 18 Kwon YK, Choi KC, Lee CD, Lee SH. Intraoperative discography for detecting concealed
lumbar discal cysts. J Korean Neurosurg Soc 2013;53:255-7.
Reference Ris Wihthout Link
- 19 Young PM, Fenton DS, Czervionke LF. Postoperative annular pseudocyst: Report of two
cases with an unusual complication after microdiscectomy, and successful treatment
by percutaneous aspiration and steroid injection. Spine J 2009;9:e9-15.
Reference Ris Wihthout Link