Endocystography in cystic neurilemmoma

During myelographic evaluation for a suspected herniated disc, a cystic neurilemmoma in the lower lumbar region was inadvertently punctured and a contrast study of the interior of the lesion resulted. The possibility of puncture of a cystic mass should be considered in the differential diagnosis when a complete block is encountered above and below the site of needle puncutre, and particularly when the contrast column demonstrates a relatively smooth biconcave appearance.