Nerve root compression by a ganglion cyst of the lumbar anulus fibrosus. A case report.

Abstract:

STUDY DESIGN:A case report of a ganglion cyst rising from the anulus pulposus, causing lumbar nerve root compression. OBJECTIVES:A rare pathologic condition causing sciatica is described. The pathologic anatomy and the magnetic resonance image of the lesion is discussed. SUMMARY OF BACKGROUND DATA:A 35-year-old man was subjected to an abrupt twisting motion of the torso during a motor vehicle accident. The patient had a L5-S1 discectomy 1 year before the accident. His low back discomfort and right lower extremity pain were clearly exacerbated by the recent trauma. METHODS:Magnetic resonance imaging revealed enhancing lobulated epidural mass displacing the S1 nerve. RESULTS:Intraoperative findings were a lobulated cystic mass rising from the degenerated anulus fibrosus, determined on histologic examination to be a ganglion cyst. The patient noted significant relief of the right sciatica after surgery. CONCLUSION:The appearance and the signal intensity of the epidural mass appear to be important parameters in diagnosing the presence of a ganglion cyst of the anulus fibrous. Excision of the ganglion cyst is indicated in a patient who fails to respond to conservative treatment and where the symptoms correlate with the abnormality seen with magnetic resonance imaging.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Kornberg M

doi

10.1097/00007632-199507150-00013

subject

Has Abstract

pub_date

1995-07-15 00:00:00

pages

1633-5

issue

14

eissn

0362-2436

issn

1528-1159

journal_volume

20

pub_type

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