Newman Sharle, Tejada Juan G, Khan Majid, Martinez Mesha L
Department of Family Medicine, Wright State Boonshoft School of Medicine, Dayton, OH, USA.
Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Eskenazi Hospital, Indianapolis, IN, USA.
Interv Neuroradiol. 2024 Aug 21:15910199241273973. doi: 10.1177/15910199241273973.
Lumbar synovial cysts (LSC) that protrude into the spinal canal can cause lower back pain, neurogenic claudication, and radiculopathy. Often diagnosed in the elderly population (typically ∼60 years of age) with a slight preponderance for females, their underlying etiology is thought to be due to degeneration of the adjacent facet joint, with the most common location at the level of L4-L5. Treatment of LSC can be conservative (with NSAIDs and physical therapy), percutaneous (with rupture), or surgically (with decompression with or without fusion). Percutaneous treatment of LSC involves rupturing the cyst by injecting it with steroids and local anesthetics. Although this option is less invasive than surgery, multiple studies have documented recurrence with this method and patients eventually undergoing surgical intervention. In this report, we document a case where a patient who presented with a symptomatic LSC underwent successful percutaneous treatment with bleomycin.
突入椎管的腰椎滑膜囊肿（LSC）可导致下背部疼痛、神经源性间歇性跛行和神经根病。LSC常诊断于老年人群（通常约60岁），女性略占多数，其潜在病因被认为是相邻小关节退变，最常见部位在L4 - L5水平。LSC的治疗方法可以是保守治疗（使用非甾体抗炎药和物理治疗）、经皮治疗（囊肿破裂）或手术治疗（减压，可伴有或不伴有融合）。LSC的经皮治疗包括通过向囊肿内注射类固醇和局部麻醉剂使其破裂。尽管此方法比手术侵入性小，但多项研究记录了该方法的复发情况，患者最终仍需接受手术干预。在本报告中，我们记录了一例有症状的LSC患者接受博来霉素经皮治疗成功的病例。
