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Midterm Results of Percutaneous CT-Guided Aspiration of Symptomatic Lumbar Discal Cysts

Hoyeong Kang1, Wei Chiang Liu1, Sang-Ho Lee2 and Sung Suk Paeng3

1 Department of Radiology, Wooridul Spine Hospital, Seoul, Republic of Korea.
2 Department of Neurosurgery, Wooridul Spine Hospital, 47-4, Cheongdam-dong, Gangnam-gu, Seoul 135-100, Republic of Korea.
3 Department of Pathology, Wooridul Spine Hospital, Gangnam-gu, Seoul, Republic of Korea.


Figure 1
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Fig. 1A 35-year-old man with left radiculopathy. Images show insertion of needle tip under CT guidance. After epidurography performed at L5–S1, needle tip is placed in cyst through interlaminar space. CT scan shows general appearance of cyst.

 

Figure 2
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Fig. 1B 35-year-old man with left radiculopathy. Images show insertion of needle tip under CT guidance. After epidurography performed at L5–S1, needle tip is placed in cyst through interlaminar space. CT scan shows appearance of cyst at bone setting.

 

Figure 3
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Fig. 2A 34-year-old man with back pain and right leg pain. T2-weighted MR image shows extradural spherical mass (arrow) of high signal intensity.

 

Figure 4
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Fig. 2B 34-year-old man with back pain and right leg pain. Gadolinium-enhanced T1-weighted MR image shows rim-enhancing cystic lesion (arrow).

 

Figure 5
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Fig. 2C 34-year-old man with back pain and right leg pain. Axial T2-weighted MR image shows cyst (arrow) in right ventrolateral extradural space.

 

Figure 6
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Fig. 3A 27-year-old man with right radiculopathy. MR image shows typical discal cyst (arrow) in L4–L5 intervertebral disk.

 

Figure 7
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Fig. 3B 27-year-old man with right radiculopathy. MR image 10 months after CT-guided aspiration shows complete resolution of discal cyst (arrow).

 

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