Reference : Le cas clinique du mois. Une cause inhabituelle de sciatalgie nécessitant un traiteme...
Scientific journals : Article
Human health sciences : Neurology
Human health sciences : Surgery
Le cas clinique du mois. Une cause inhabituelle de sciatalgie nécessitant un traitement chirurgical : le kyste arthrosynovial lombaire
[en] Clinical case of the month. An uncommon cause of sciatica: lumbar synovial cyst
Lommers, Emilie mailto [Université de Liège - ULg > >]
Gillet, Philippe mailto [Université de Liège - ULg > > Chirurgie de l'appareil locomoteur > >]
Revue Médicale de Liège
Université de Liège. Revue Médicale de Liège
Yes (verified by ORBi)
[en] Female ; Humans ; *Lumbar Vertebrae ; Middle Aged ; Sciatica/*etiology ; Spinal Diseases/*diagnosis ; Synovial Cyst/*diagnosis
[en] We describe the case of a 46-year-old woman suffering from an hyperalgic sciatica caused by a lumbar synovial cyst. These are uncommon lesions associated with degenerative spine disease. They may be asymptomatic or may produce symptoms resulting from nervous structures compression. They are commonly found at the L4-L5 level, the site of maximum mobility. Their etiopathogeny is still unclear but degenerative spinal instability is the strongest factor for their growth. MRI is the most effective for the diagnosis. Conservative management is usually unsuccessful. Resection with or without fusion remains the more appropriate therapeutic option.

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