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Journal of Korean Neurosurgical Society 2004;35(3): 328-331.
Is Magnetic Resonance Image Alone Sufficient for Detecting Disc Cyst?.
Hyun Jong Hong, Hyeong Joong Yi, Koang Hum Bak, Seong Hoon Oh
1Department of Neurosurgery, Hanyang University Medical Center, Seoul, Korea. hjyi8499@hanyang.ac.kr
2Department of Neurosurgery, Hanyang University Medical Center, Guri, Korea.
ABSTRACT
Disc cyst is an exaggerated form of disc degeneration that requires discography to confirm diagnosis. A case of 25-year-old man with back pain and left thigh numbness is described. A juxtaradicular extradural cyst at the upper lumbar spine, straddled the intervertebral foramen and migrated superiorly, was depicted as a bean-shaped high signal lesion that connected to the corresponding disc via a low signal stalk on T2-weighted magnetic resonance images. Gadolinium-enhanced images showed faint peripheral enhancement. Surgical specimen was histologically confirmed as a pseudocyst and he made a full recovery. We are able to detect a disc cyst with magnetic resonance imaging, particularly Gadolinium-enhanced and sagittal T2-weighted images, which was possible in the past only with invasive discography.
Key Words: Disc cyst; Discograpy; Intervertebral disc; Magnetic resonance image
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