Spontaneous regression of a discal cyst. Case report.
Spontaneous regression of a discal cyst. Case report.
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DOI：
10.3171/spi.2007.6.1.81
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
D. Chou;Justin S. Smith;C. Chin
中科院分区：
文献类型：
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作者：
D. Chou;Justin S. Smith;C. Chin
作者描述了一个椎间盘囊肿的病例，该病例在没有直接干预的情况下几乎完全消退。椎间盘囊肿很少见，只有少数病例报告的作者描述了这种情况。这些报告都至少确定了一些缓解症状的干预措施，包括开放手术、微创手术或经皮穿刺抽吸。作者报道了一名患有神经根病的 35 岁男性，他患有椎间盘囊肿，接受了常规硬膜外注射和选择性神经根阻滞治疗。 5个月内，磁共振成像显示椎间盘囊肿明显消退，患者症状得到改善。这种病理实体的自然病史尚不清楚，据作者所知，这是第一份无需手术或抽吸即可使椎间盘囊肿消退的详细报告。
The authors describe a case of a discal cyst that resolved almost completely without direct intervention. Discal cysts are rare, with the authors of only a few case reports describing this entity. These reports all identify at least some intervention performed for alleviation of the symptoms, including open surgery, minimally invasive surgery, or percutaneous puncture with aspiration. The authors report on a 35-year-old man with radiculopathy who presented with a discal cyst and was treated with a routine epidural injection and selective nerve root block. Within 5 months, the discal cyst showed dramatic regression on magnetic resonance imaging and the patient's symptoms improved. The natural history of this pathological entity is unknown, and to the authors' knowledge this is the first detailed report of the regression of a discal cyst without surgery or aspiration.