518 KB16 KB199220252014Jeromel, MiranKozar, Sergejaštevilka:1letnik:48str. 35-39, IIICOBISSID:1091500ISSN:1318-2099URN:URN:NBN:SI:doc-8IRCDAQKenAssociation of Radiology and OncologyRadiology and oncology (Ljubljana)bolečinacisteintraspinal synovial cystintraspinalne sinovialne cistepainpercutaneous CT guided treatmentpolymorbid patientradiculopathyradiologijatherapyzdravljenjeMinimally invasive CT guided treatment of intraspinal synovial cyst|Background. Intraspinal synovial cysts of vertebral facet joints are uncommon cause of radicular pain as well as neurological deficits. They can be managed both conservatively and surgically.Case report. A 77-year old polymorbid patient presented with bilateral low back pain which worsened during the course of time and did not respond to the conservative treatment. A diagnosis of intraspinal synovial cyst was made using the magnetic resonance imaging (MRI). Percutaneous computed tomography (CT) guided injection with installation of local anesthetic together with corticosteroid and rupture of the cyst was successfully used. A month after the procedure his pain improved, the usage of analgesics diminished and his over-all quality of life improved.Conclusions. Percutaneous CT guided lumbar synovial cyst treatment is safe and reliable alternative to the surgical treatment in polymorbid patients with radiculopathy who are not able to tolerate general anesthesia and operationTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaDruštvo radiologije in onkologije