Epiduroscopic Excision of a Discal Cyst Using the 1414 nm Nd : YAG Laser

Yudoyono, Farid; Shin, Dong Ah; Kim, Keung Nyun; Yoon, Do Heum

doi:2016.2.1.37

Asian J Pain > Volume 2;2016 > Article

Case Report

Asian Journal of Pain 2016;2(1):37-39.
DOI: https://doi.org/10.35353/ajp.2.1.37 Published online April 30, 2016.

Epiduroscopic Excision of a Discal Cyst Using the 1414 nm Nd : YAG Laser

Farid Yudoyono^1,2, Dong Ah Shin², Keung Nyun Kim², Do Heum Yoon²

¹Department of Neurosurgery, Spine and Spinal Cord Research Institute, Yonsei University College of Medicine, Seoul, Korea
²Department of Neurosurgery, Hasan Sadikin Hospital, Padjadjaran University, College of Medicine, Bandung, Jawa Barat, Indonesia

Correspondence: Dong Ah Shin, Tel: 82-2-2228-2150, Fax: 82-2-393-9979,
Email: shindongah@me.com

Abstract

Laser ablation has become an important procedure in neurosurgery. It not only allows for precise dissection, but also offers excellent hemostasis and minimizes edema following surgery. The Nd : YAG laser has been developed and used to resect spinal lesions. We present the case of a 46-year-old man who experienced left leg pain due to a discal cyst at the L4–5 level. The patient underwent epiduroscopic laser ablation using the 1414 nm Nd : YAG laser. The discal cyst was successfully removed, with symptom resolution. Epiduroscopic laser ablation may be a good alternative to open surgery in the case of discal cysts.

Key Words: Discal cyst; Epiduroscopic; Laser ablation.