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Discal cysts and pseudocysts: Single center experience.

Vineet V Gorolay1, Brandon K K Fields1, Vinil N Shah1

  • 1Department of Radiology and Biomedical Imaging, University of California, San Francisco, USA.

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Discal cysts, rare spinal lesions, affect a broader patient group than previously thought. While imaging-guided injections offer temporary relief, surgery remains a definitive treatment option for these conditions.

Keywords:
Back painDiscal cystImage-guided interventionPseudocystRadiculopathy

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Area of Science:

  • Spinal Imaging and Intervention
  • Neurosurgery
  • Radiology

Background:

  • Intervertebral discal cysts are rare spinal lesions.
  • Existing literature primarily consists of case reports and surgical series, often focusing on young adult males with back pain and radiculopathy.

Purpose of the Study:

  • To review a single-center experience with discal cysts.
  • To describe the presentation, management, and outcomes of these rare lesions in a broader patient population.

Main Methods:

  • Retrospective electronic search of an institutional database for discal cysts.
  • Review of clinical presentation, imaging findings, management strategies, and patient outcomes.

Main Results:

  • Nine patients (4 female, mean age 49.1 years) were identified.
  • Presentations varied, including back pain, radiculopathy, and asymptomatic cases; some patients had prior surgery.
  • Imaging-guided procedures provided short-term relief, with surgery being definitive for some; outcomes were heterogeneous.

Conclusions:

  • Discal cysts and pseudocysts present in a wider age range and with more varied clinical features than previously reported.
  • Imaging-guided interventions offer temporary symptomatic relief.
  • Further research is needed to optimize the long-term management of these rare spinal lesions.