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A multilocular discal cyst extending from the spinal canal to the extraforaminal region: A case report.

Authors :
Ishibashi K
Segawa T
Kaneko T
Takano Y
Iwai H
Inanami H
Koga H
Source :
Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association [J Orthop Sci] 2023 Aug 03. Date of Electronic Publication: 2023 Aug 03.
Publication Year :
2023
Publisher :
Ahead of Print

Abstract

Background: Lumbar discal cysts are intraspinal extradural cysts communicating with the intervertebral disc. The usual location and morphology are in the caudal ventrolateral epidural space of the spinal canal, without extension to the neural foramen or crossing the midline and described as a well-defined homogeneous oval or spherical cyst on low and high signal intensities observed in lumbar lesions on T1- and T2-weighted magnetic resonance imaging, respectively. We report an unusual lumbar discal cyst in terms of the lesion location and morphology.<br />Case Presentation: A 33-year-old-man presented with lower back and right anterior thigh pain. Magnetic resonance imaging revealed multilocular cystic lesions in the cranial ventrolateral epidural space at L2-L3 with low and high signal intensities on T1- and T2-weighted magnetic resonance imaging, respectively. We performed a full-endoscopic transforaminal cystectomy under general anesthesia.<br />Conclusion: Lumbar discal cysts should be considered a differential diagnosis for multilocular intraspinal cystic lesion.<br />Competing Interests: Declaration of competing interest The authors declare that they have no conflict of interest.<br /> (Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.)

Details

Language :
English
ISSN :
1436-2023
Database :
MEDLINE
Journal :
Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
Publication Type :
Report
Accession number :
37541920
Full Text :
https://doi.org/10.1016/j.jos.2023.07.013