<abstract xmlns="http://www.w3.org/1999/xhtml"> Background. Intraspinal synovial cysts of vertebral facet joints are uncommon cause of radicular pain as well as neurological deficits. They can be managed both conservatively and surgically. Case report. A 77-year old polymorbid patient presented with bilateral low back pain which worsened during the course of time and did not respond to the conservative treatment. A diagnosis of intraspinal synovial cyst was made using the magnetic resonance imaging (MRI). Percutaneous computed tomography (CT) guided injection with installation of local anesthetic together with corticosteroid and rupture of the cyst was successfully used. A month after the procedure his pain improved, the usage of analgesics diminished and his over-all quality of life improved. Conclusions. Percutaneous CT guided lumbar synovial cyst treatment is safe and reliable alternative to the surgical treatment in polymorbid patients with radiculopathy who are not able to tolerate general anesthesia and operation.</abstract>

Background. Intraspinal synovial cysts of vertebral facet joints are uncommon cause of radicular pain as well as neurological deficits. They can be managed both conservatively and surgically. Case report. A 77-year old polymorbid patient presented with bilateral low back pain which worsened during the course of time and did not respond to the conservative treatment. A diagnosis of intraspinal synovial cyst was made using the magnetic resonance imaging (MRI). Percutaneous computed tomography (CT) guided injection with installation of local anesthetic together with corticosteroid and rupture of the cyst was successfully used. A month after the procedure his pain improved, the usage of analgesics diminished and his over-all quality of life improved. Conclusions. Percutaneous CT guided lumbar synovial cyst treatment is safe and reliable alternative to the surgical treatment in polymorbid patients with radiculopathy who are not able to tolerate general anesthesia and operation.

Minimally invasive CT guided treatment of intraspinal synovial cyst

Clinical Department of Anesthesiology and Intensive therapy, University Medical Centre Ljubljana, Ljubljana, Slovenia

Department of Diagnostic and Interventional Neuroradiology, University Medical Centre Ljubljana, Ljubljana, Slovenia

Radiology and Oncology

{"article-title":"Minimally invasive CT guided treatment of intraspinal synovial cyst"}

Background. Intraspinal synovial cysts of vertebral facet joints are uncommon cause of radicular pain as well as neurological deficits. They can be managed...

Minimally invasive CT guided treatment of intraspinal synovial cyst

Published Online: Jan 22, 2014

Page range: 35 - 39

DOI: https://doi.org/10.2478/raon-2013-0024

Keywords
intraspinal synovial cyst, polymorbid patient, radiculopathy, pain, percutaneous CT guided treatment

This content is open access.

Minimally invasive CT guided treatment of intraspinal synovial cyst

Published Online: Jan 22, 2014

Page range: 35 - 39

DOI: https://doi.org/10.2478/raon-2013-0024

Keywordsintraspinal synovial cyst, polymorbid patient, radiculopathy, pain, percutaneous CT guided treatment

This content is open access.

Keywords
intraspinal synovial cyst, polymorbid patient, radiculopathy, pain, percutaneous CT guided treatment