Takeshima Yasuhiro, Takahashi Toshiyuki, Hanakita Junya, Watanabe Mizuki, Kitahama Yoshihiro, Kuraishi Keita, Uesaka Toshio, Minami Manabu, Nakase Hiroyuki
Spinal Disorders Center, Fujieda Heisei Memorial Hospital, Shizuoka.
Neurol Med Chir (Tokyo). 2011;51(11):809-11. doi: 10.2176/nmc.51.809.
A 39-year-old man presented with an extremely rare discal cyst at the L3-4 level manifesting as a left L4 radiculopathy. Two months after onset, he suffered right L4 radiculopathy with new lumbar disc protrusion. Five months after medical treatment, the patient's symptoms improved, and the discal cyst showed complete regression on magnetic resonance imaging. Most cases of discal cyst are surgically treated, with only two previous cases of spontaneous regression. The present case suggests clinical and radiological recovery of symptomatic lumbar discal cyst can be obtained by only conservative therapy.
一名39岁男性患者，在L3 - 4水平出现极为罕见的椎间盘囊肿，表现为左侧L4神经根病。发病两个月后，他又出现右侧L4神经根病并伴有新的腰椎间盘突出。经过五个月的药物治疗，患者症状改善，磁共振成像显示椎间盘囊肿完全消退。大多数椎间盘囊肿病例采用手术治疗，此前仅有两例自发消退的病例。本病例表明，仅通过保守治疗即可实现有症状的腰椎间盘囊肿的临床和影像学恢复。
