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Korean J Spine Search

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Intraspinal Gas-Containing Ganglion Cyst as a Cause of Lumbar Radiculopathy
Soo-Beom Kim, M.D.1, Won-Joong Kim, M.D.1, Sang-Ho Lee, M.D.2, Seok-Kang Kim, M.D.2, and Song-Woo Shin, Ph.D.2
Department of Orthopedic Surgery,1 Neurosurgery,2 Wooridul Spine Hospital, Seoul, Korea
신경근 압박을 동반한 요추부 척추관내 가스 함유 결절 낭종
김수범1, 김원중1, 이상호2, 김석강2, 신송우2
우리들병원 정형외과1, 신경외과2
Abstract
Intraspinal gas-containing cyst is an uncommon cause of radiculopathy. Its occurrence in Korean has not previously been documented, while there are a few case reports in the literature worldwide. The authors present a case of gas-containing cyst with a radiological and histological findings. A 67-year-old female patient presented with right leg radiculopathy. Computed tomography and magnetic resonance imaging studies showed a gas-containing cyst lesion at the posterior aspect of L4 vertebral body. She underwent a transforaminal lumbar interbody fusion at L4-5 and L5-S1 due to degenerative segmental instability. The entire gas-containing cyst was excised. Histological examination revealed a multilobular cystic mass with a synovial cell-lining cystic wall. There were no postoperative complications. The patient's neurologic symptoms were markedly improved immediate postoperatively.
Keywords: Gas cyst, Intraspinal, Radiculopathy, Lumbar spine


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