title: Lumbar intraforaminal synovial cyst in young adulthood: case report and review of the literature.
abstract: Study Design Case report. Objective Lumbar juxtafacet cysts (synovial and ganglion cysts) are a rare cause of low back and radicular leg pain. Most patients with lumbar cysts are in their sixth decade of life and have significant facet joint and disk degeneration. Lumbar synovial cysts (LSCs) are extremely rare in adolescence and young adulthood, and to our knowledge, only two pediatric cases of LSC have been reported in the literature. We aim to prove the existence of LSC in adolescent patients as a real entity that causes low back and radicular complaints and to discuss the possibility of traumatic injury as a pathogenic cause of LSC formation in adolescence. A case of an 18-year old patient with LSC is presented. We report the clinical presentation, management, outcome, and review of the literature, focusing on issues that remain debatable. Methods The case is presented together with its clinical course, the diagnostic techniques, the surgical findings, histologic results, and the treatment outcome. Results After surgical treatment, the patient's complaints were alleviated and almost no complaints were registered during the next 6 months' follow-up. Conclusions LSCs are extremely rare in adolescence, but they could be considered in the differential diagnosis in adolescent patients with low back pain and radiculopathy. Surgical removal of LSC could be considered as a treatment option to provide immediate and safe symptomatic relief.
authors.affiliation: Department of Neurosurgery, Medical University of Varna, Varna, Bulgaria.
authors.forename: Svetoslav K
authors.initials: SK
authors.lastname: Kalevski
authors.affiliation: Department of Neurosurgery, Medical University of Varna, Varna, Bulgaria.
authors.forename: Dimitar Georgiev
authors.initials: DG
authors.lastname: Haritonov
authors.affiliation: Department of Neurosurgery, Medical University of Varna, Varna, Bulgaria.
authors.forename: Nikolay Angelov
authors.initials: NA
authors.lastname: Peev
keywords: adolescents; juxtafacet cysts; lumbar spine; lumbar synovial cysts; radicular pain; rare case; young adults
references.citation: Spine (Phila Pa 1976). 2004 Apr 15;29(8):874-8
references.pmid: 15082987
references.citation: Clin Neurol Neurosurg. 2007 Jan;109(1):88-91
references.pmid: 16647199
references.citation: J Neurosurg. 1999 Oct;91(2 Suppl):193-9
references.pmid: 10505504
references.citation: Spine (Phila Pa 1976). 1995 Jan 1;20(1):80-9
references.pmid: 7709284
references.citation: J Neurol Neurosurg Psychiatry. 2001 Jan;70(1):74-7
references.pmid: 11118251
references.citation: Radiology. 2006 Nov;241(2):618-21
references.pmid: 17057079
references.citation: Neurosurgery. 2004 Jan;54(1):107-11; discussion 111-2
references.pmid: 14683546
references.citation: Asian J Neurosurg. 2011 Jul;6(2):78-82
references.pmid: 22347328
references.citation: J Neurosurg. 2000 Jul;93(1 Suppl):53-7
references.pmid: 10879758
references.citation: Eur Spine J. 2006 Aug;15(8):1176-82
references.pmid: 16440202
references.citation: J Neurosurg. 1968 Aug;29(2):168-72
references.pmid: 5673315
references.citation: Eur Spine J. 2008 Jun;17(6):831-7
references.pmid: 18389295
references.citation: Neurol India. 2006 Mar;54(1):38-41
references.pmid: 16679641
references.citation: Neurol Med Chir (Tokyo). 2007 Jun;47(6):250-7; discussion 257
references.pmid: 17587776
references.citation: Acta Orthop Traumatol Turc. 2006;40(1):85-8
references.pmid: 16648684
references.citation: Childs Nerv Syst. 2009 Jun;25(6):719-21
references.pmid: 19238403
references.citation: J Neurosurg. 1974 Sep;41(3):372-6
references.pmid: 4416019
references.citation: Eur Radiol. 2000;10(4):615-23
references.pmid: 10795544
references.citation: AJR Am J Roentgenol. 2011 May;196(5):1151-5
references.pmid: 21512084
references.citation: Acta Neurochir (Wien). 2001;143(2):129-34
references.pmid: 11459083
references.citation: J Spinal Disord Tech. 2004 Aug;17(4):321-5
references.pmid: 15280763
references.citation: Acta Neurochir (Wien). 2006 Jan;148(1):47-54; discussion 54
references.pmid: 16258839
references.citation: AJNR Am J Neuroradiol. 1989 Nov-Dec;10(6):1239-42
references.pmid: 2512789
references.citation: Neurol Med Chir (Tokyo). 2008 Jul;48(7):298-303; discussion 303
references.pmid: 18654048
references.citation: J Spinal Disord Tech. 2006 May;19(3):155-60
references.pmid: 16770210
references.citation: Spine (Phila Pa 1976). 2002 Jun 1;27(11):E278-80
references.pmid: 12045529
references.citation: HSS J. 2009 Sep;5(2):165-8
references.pmid: 19597890