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Postlaminectomy Bilateral Lumbar Intraspinal Synovial Cysts
Sung Ik Cho1, Jung Hwan Lee1, Chung Kee Chough1
1Department of Neurosurgery, Yeouido St. Mary's Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea.
Korean Journal of Spine
|November 2, 2016
Summary
Bilateral intraspinal synovial cysts rarely develop after lumbar laminectomy. This case highlights the need for surgical excision in such rare instances of lumbar radiculopathy.
Area of Science:
- Neurosurgery
- Spinal Imaging
- Orthopedic Surgery
Background:
- Lumbar intraspinal synovial cysts are a recognized cause of lumbar radiculopathy.
- Advancements in imaging techniques have led to increased detection and reporting of these lesions.
- Post-laminectomy development of bilateral intraspinal synovial cysts is exceptionally rare.
Purpose of the Study:
- To report an exceedingly rare case of bilateral intraspinal synovial cysts arising after lumbar laminectomy.
- To emphasize the diagnostic considerations for lumbar radiculopathy.
- To highlight the necessity of surgical intervention for symptomatic cysts.
Main Methods:
- Case report detailing a patient who developed bilateral intraspinal synovial cysts.
- Review of diagnostic imaging findings.
- Description of the surgical procedure for cyst excision.
Main Results:
- The patient presented with symptoms consistent with lumbar radiculopathy.
- Diagnostic imaging confirmed the presence of bilateral intraspinal synovial cysts.
- Surgical excision was successfully performed to alleviate symptoms.
Conclusions:
- Bilateral intraspinal synovial cysts are a rare but possible complication following lumbar laminectomy.
- These cysts can present as a cause of lumbar radiculopathy.
- Surgical excision is an effective treatment for symptomatic post-laminectomy intraspinal synovial cysts.
