title: Percutaneous discal cyst rupture in a professional football player using sublaminar epidural injection for thecal sac displacement.
abstract: A case of percutaneous discal cyst rupture in a 25-year-old professional American football player is reported. The patient presented with a 3-day history of severe left-sided back pain. Magnetic resonance imaging examination demonstrated a discal cyst effacing the left L4-L5 lateral recess, with interposed thecal sac. A sublaminar epidural injection was performed displacing the thecal sac, exposing the discal cyst, and allowing for percutaneous perforation. The patient had complete resolution of symptoms after discal cyst rupture and was able to compete in a professional football game 3 days later. Computed tomography-guided percutaneous rupture is a therapeutic modality that may be considered for treatment of a symptomatic discal cyst.
authors.affiliation: Mallinckrodt Institute of Radiology, Washington University in St. Louis School of Medicine and Barnes-Jewish Hospital, 510 South Kingshighway Boulevard, St. Louis, MO 63110. Electronic address: friedmanm@mir.wustl.edu.
authors.forename: Michael V
authors.initials: MV
authors.lastname: Friedman
authors.affiliation: Department of Orthopedic Surgery, Washington University in St. Louis School of Medicine and Barnes-Jewish Hospital, 510 South Kingshighway Boulevard, St. Louis, MO 63110.
authors.forename: Andrew
authors.initials: A
authors.lastname: Park
authors.affiliation: Department of Orthopedic Surgery, Washington University in St. Louis School of Medicine and Barnes-Jewish Hospital, 510 South Kingshighway Boulevard, St. Louis, MO 63110.
authors.forename: David
authors.initials: D
authors.lastname: Bumpass
authors.affiliation: Mallinckrodt Institute of Radiology, Washington University in St. Louis School of Medicine and Barnes-Jewish Hospital, 510 South Kingshighway Boulevard, St. Louis, MO 63110.
authors.forename: Jack W
authors.initials: JW
authors.lastname: Jennings
authors.affiliation: Department of Orthopedic Surgery, Washington University in St. Louis School of Medicine and Barnes-Jewish Hospital, 510 South Kingshighway Boulevard, St. Louis, MO 63110.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Matava
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D003287:Contrast Media; D003560:Cysts / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D003907:Dexamethasone / Q000008:administration & dosage; D005538:Football; D006801:Humans; D007268:Injections, Epidural; D015552:Injections, Intralesional; D007403:Intervertebral Disc / Q000000981:diagnostic imaging; D007405:Intervertebral Disc Displacement / Q000000981:diagnostic imaging* / Q000188:drug therapy* / Q000209:etiology; D007472:Iohexol; D008297:Male; D011856:Radiographic Image Enhancement; D015641:Radiography, Interventional; D012965:Sodium Chloride / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000893:Anti-Inflammatory Agents; D003287:Contrast Media; D007472:Iohexol; D012965:Sodium Chloride; D003907:Dexamethasone