Related Experiment Video
Updated: Jul 3, 2026
02:30
Endoscopic Approach for Colloid Cyst Resection
Published on: May 23, 2025
Conservative management of perineural cysts
Raj Mitra1, Dhiruj Kirpalani, Matthew Wedemeyer
1Stanford Interventional Spine Center, Department of Orthopedic Surgery, Stanford University School of Medicine, Palo Alto, CA 94305, USA. rmitra@stanford.edu
Spine
|July 17, 2008
Summary
Steroid therapy offers a potential non-surgical treatment for symptomatic perineural cysts. This approach was successfully used in two patients with lumbar and cervical cysts.
Area of Science:
- Neurosurgery
- Pain Management
- Neurology
Background:
- Perineural cysts are typically incidental findings but can rarely cause nerve root compression.
- Surgical management of perineural cysts presents challenges including pseudomeningocoele, intracranial hypotension, and recurrence.
- Currently, no non-surgical treatments for perineural cysts are established.
Observation:
- A case series of two patients with symptomatic perineural cysts was conducted.
- Patients presented with either lumbar or cervical perineural cysts.
- Both patients received steroid therapy, administered orally and epidurally.
Findings:
- Successful treatment of symptomatic perineural cysts was achieved using steroid therapy.
- Both lumbar and cervical perineural cysts responded positively to the steroid interventions.
- The case series demonstrated the efficacy of steroid therapy in managing these cysts.
Implications:
- Steroid therapy may represent a viable non-surgical alternative for managing symptomatic perineural cysts.
- This approach could potentially avoid the complications associated with surgical interventions.
- Further research into non-surgical treatments for perineural cysts is warranted.
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:17Pericarditis III: Medical Management
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...