Lumbar intraspinal synovial cyst with urine incontinence: A case report and review of the literature

Abstract

Synovial cysts are rarely observed in cases with epidural compressive syndromes. They are intraspinal lesions that may mimic disc hernias by causing radicular symptoms. A 28-year-old female patient presented with radicular complaints such as back pain for 6 months, urinary incontinence for 1 month, and progressive right leg pain and numbness for the last 2 weeks. Physical examination revealed weakness (4/5) in gastrocnemius muscle, right L5-S1 hypoesthesia, and urinary incontinence. On magnetic resonance imaging, an intraspinal cyst was seen at the level of L5-S1. The patient was operated with bilateral L5 hemipartial laminectomy, foraminotomy, and cyst excision. Her symptoms, especially urinary incontinence, regressed at the early postoperative period and completely disappeared together with normal motor and sensory examination findings at the control visit at 1 year. J Clin Exp Invest 2013; 4 (4): 546-549

Keywords

• Synovial cyst, lumbar spine, intraspinal steroids, spinal surgery, urine incontinence

Lumbar intraspinal synovial cyst with urine incontinence: A case report and review of the literature

Öz

Sinovyal kistler epidural kompresif sendromları olan olgularda nadiren görülmektedir. Radiküler semptomlarla disk hernilerini taklit edebilen intraspinal lezyonlardır. Yirmi sekiz yaşında bayan hasta, altı aydır süren bel ağrısı, bir aydır idrar kaçırma ve son iki haftadır giderek artan sağ bacak ağrısı ve uyuşma gibi radiküler şikayetlerle başvurdu. Fizik muayenesinde; gastrokinemius kasında güç kaybı (4/5), sağ L5,S1 hipoestezisi ve idrar inkontinansı tespit edildi. Manyetik rezonans görüntülemede, L5-S1 seviyesinde intraspinal kist görüldü. Olguya bilateral L5 hemiparsiyel laminektomi, foraminotomi ve kist eksizyonu yapıldı. Hastanın özellikle idrar inkontinansı olmak üzere postoperatif erken dönemde şikayetleri geriledi, bir yıl sonraki kontrol muayenesinde hiç bir şikayetinin olmadığı, motor ve duyu kaybının da tamamen düzeldiği gözlendi.

Anahtar Kelimeler

• Sinoviyal kist, lomber vertebra, intraspinal steroid, spinal cerrahi, idrar inkontinansı

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