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Asian J Pain > Volume 3(2); 2017 > Article
Asian Journal of Pain 2017;3(2):32-35.
DOI: https://doi.org/10.35353/ajp.3.2.32    Published online October 30, 2017.
Lumbar Discal Cyst as a Rare Cause of Low Back Pain and Radiculopathy
Eui-Jin Cho1, Bum-Joon Kim1, Se-Hoon Kim1, Seung-Hwan Lee1, Hwa-Eun Oh2
1Department of Neurosurgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea
2Department of Pathology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea
Correspondence:  Bum-Joon Kim, Tel: +82-31-412-5053, Fax: +82-31-412-5054, 
Email: nsbjkim@gmail.com
Abstract
Discal cysts that lead to low back pain and radiculopathy are uncommon. To date, only a few cases have been reported in the literature. Herein, we report the case of a 30-year-old man who experienced low back pain and radiculopathy due to a lumbar discal cyst. On magnetic resonance images, an extradural cystic mass was seen as a low signal intensity on T1-weighted images and a high signal intensity on T2-weighted images, respectively. The cyst was a grossly oval-shaped mass with hematoma connected to the adjacent intervertebral disc. Radiculopathy and low back pain were dramatically relieved after surgical removal. As in our experience and other case reports, surgical resection can be considered as the first treatment option in patients with symptomatic discal cysts.
Key Words: Intervertebral Disc; Cysts; Radiculopathy; Low Back Pain
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