{"id":"8180c4fd-97da-41c1-880a-5400b874f7f6","slug":"successful-treatment-of-a-symptomatic-l5s1-discal-cyst-by-percutaneous-ct-guided-aspiration","title":"Successful treatment of a symptomatic L5/S1 discal cyst by percutaneous CT-guided aspiration","authors":["Hormuzdiyar H. Dasenbrock","Sudhir Kathuria","Timothy F. Witham","Ziya L. Gokaslan","Ali Bydon"],"abstract":"Background: Discal cysts are a rare cause of lumbar radiculopathy. Benefits of percutaneous computed tomography (CT)-guided aspiration of the cyst include decreased rate of infection, avoidance of general anesthesia, and quicker recovery. However, since the publication of a case of cyst recurrence after CT-guided aspiration, few have utilized this potentially valuable technique. Case Description: We present a patient with a discal cyst arising from the L5/S1 disc causing right S1 radiculopathy. He underwent percutaneous CT-guided aspiration with substantial improvement in his radicular pain with 19 months of follow-up. His improvement was measured quantitatively using the Japanese Orthopedic Association scale: 6/15 pre-procedure, 15/15 post-procedure. Conclusion: Percutaneous CT-guided aspiration of discal cysts may be a valid initial treatment option for this condition. Patients who do not respond or who have a recurrence can subsequently be treated by surgical excision.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/8180c4fd-97da-41c1-880a-5400b874f7f6/featured/hero-1782420788829.png","publishDate":"2010-08-10T00:00:00.000Z","doi":"10.4103/2152-7806.68338","categories":["Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2015/05/3149/SNI-1-41.pdf"}