The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Successful Treatment of a Symptomatic Discal Cyst by Percutaneous C-arm Guided Aspiration

  • Yu, Hyun Jeong (Department of Anesthesiology and Pain Medicine, Chungbuk National University Hospital) ;
  • Park, Chan Jin (Department of Anesthesiology and Pain Medicine, Chungbuk National University Hospital) ;
  • Yim, Kyoung Hoon (Department of Anesthesiology and Pain Medicine, Chungbuk National University Hospital)
  • Received : 2015.10.08
  • Accepted : 2016.01.25
  • Published : 2016.04.01
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Abstract

Although discal cysts are a rare cause of low back pain and radiculopathy. Currently, surgical excision is usually the first-line treatment for discal cysts. However, alternative treatment methods have been suggested, as in some cases symptoms have improved with interventional therapies. A 27-year-old man presented with an acute onset of severe pain, and was found to have a discal cyst after an open discectomy. The patient underwent cyst aspiration and steroid injection through the facet joint under C-arm guidance. After the procedure, the patient's pain improved to NRS 0-1. On outpatient physical examination 1 week, and 1 and 3 months later, no abnormal neurological symptoms were present, and pain did not persist; thus, follow-up observation was terminated. When a discal cyst is diagnosed, it is more appropriate to consider interventional management instead of surgery as a first-line treatment, while planning for surgical resection if the symptoms do not improve or accompanying neurologic deficits progress.

Keywords

References

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