Lumbar intraspinal synovial cyst with urine incontinence: A case report and review of the literature
Yahya Turan 1 * , Tevfik Yılmaz, Cüneyt Göçmez, Kağan Kamaşak, Salih Hattapoğlu, Adnan Ceviz
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1 Dicle Üniversitesi Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Diyarbakır, Turkey
* Corresponding Author

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.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

https://doi.org/10.5799/ahinjs.01.2013.04.0345

J Clin Exp Invest, 2013 - Volume 4 Issue 4, pp. 546-549

Publication date: 14 Dec 2013

Article Views: 1184

Article Downloads: 692

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