Friedman Michael V, Park Andrew, Bumpass David, Jennings Jack W, Matava Matthew J
Mallinckrodt Institute of Radiology, Washington University in St. Louis School of Medicine and Barnes-Jewish Hospital, 510 South Kingshighway Boulevard, St. Louis, MO 63110.
Department of Orthopedic Surgery, Washington University in St. Louis School of Medicine and Barnes-Jewish Hospital, 510 South Kingshighway Boulevard, St. Louis, MO 63110.
J Vasc Interv Radiol. 2015 Jan;26(1):75-8. doi: 10.1016/j.jvir.2014.09.017.
A case of percutaneous discal cyst rupture in a 25-year-old professional American football player is reported. The patient presented with a 3-day history of severe left-sided back pain. Magnetic resonance imaging examination demonstrated a discal cyst effacing the left L4-L5 lateral recess, with interposed thecal sac. A sublaminar epidural injection was performed displacing the thecal sac, exposing the discal cyst, and allowing for percutaneous perforation. The patient had complete resolution of symptoms after discal cyst rupture and was able to compete in a professional football game 3 days later. Computed tomography-guided percutaneous rupture is a therapeutic modality that may be considered for treatment of a symptomatic discal cyst.
报道了一例25岁职业美式橄榄球运动员经皮椎间盘囊肿破裂的病例。患者出现严重左侧背痛3天。磁共振成像检查显示一个椎间盘囊肿压迫左L4-L5侧隐窝,其间有硬膜囊。进行了椎板下硬膜外注射,将硬膜囊移位,暴露椎间盘囊肿,并进行经皮穿刺。椎间盘囊肿破裂后患者症状完全缓解,3天后能够参加职业橄榄球比赛。计算机断层扫描引导下的经皮破裂是一种可考虑用于治疗有症状椎间盘囊肿的治疗方式。