Osteolytic Lumbar Discal Cyst
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概要
- 論文の詳細を見る
A 25-year-old man presented with left lumboischialgia refractory to medical treatment. Neurological examination revealed L5 and S1 radiculopathy which rapidly worsened over a short period. Magnetic resonance imaging demonstrated disk bulging with a discal cyst at the L4-5 intervertebral space and disk herniation at the L5-S1 intervertebral space. Computed tomography showed osteolytic change of the L5 vertebral body adjacent to the cyst. Resection of the cyst and removal of the herniated disk were performed following fenestration of the L4-5 and L5-S1 interlaminar spaces. Bloody serous fluid followed by clear serous fluid was recognized during the aspiration and partial resection of the cyst at the L4-5 level. Histological examination demonstrated a cyst wall consisting of fibrous connective tissue without a single-layer lining of cells, and fibrin deposits. The patient's symptoms disappeared immediately after the operation. This osteolytic lumbar discal cyst possibly occurred subsequent to hemorrhage from the epidural venous plexus following intervertebral disk injury, hematoma encapsulation by connective fibrous tissue, and cyst wall formation in reaction to the disk injury and hemorrhage. The cystmay have enlarged due to the inflow of the serous fluid from the water-containing degenerated disk.
- 社団法人日本脳神経外科学会の論文
- 2008-08-15
著者
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MATSUMURA Akira
Department of Neurosurgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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Marushima Aiki
Department Of Neurosurgery Kobari General Hospital:(present Office)department Of Neurosurgery Instit
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UEMURA Kazuya
Department of Neurosurgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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Matsumura Akira
Department Of Neurosurgery Graduate School Of Comprehensive Human Sciences University Of Tsukuba
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SATO Naoaki
Department of Neurosurgery, Kobari General Hospital
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MARUNO Toru
Department of Neurosurgery, Kobari General Hospital
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Maruno Toru
Department Of Neurosurgery Kobari General Hospital:(present Office)department Of Neurosurgery Maruno
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Sato Naoaki
Department Of Neurosurgery Kobari General Hospital
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Uemura Kazuya
Department Of Neurosurgery Graduate School Of Comprehensive Human Sciences University Of Tsukuba
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Uemura Kazuya
Department Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba:(present Office)depa
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Matsumura Akira
Department Of Gastroenterology Dokkyo Medical University
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Sato Naoaki
Department Of Gynecology And Obstetrics Tohoku University Hospital
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Matsumura Akira
Department Of Forest Resources Science Shizuoka University
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MATSUMURA Akira
Department of Electronic Science and Engineering, Faculty of Engineering, Kyoto University
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