Abstract | OBJECTIVE: The presentation of a patient with acute low back pain and distal radiation to the lower extremities is often attributed to a herniated nucleus pulposus (NHP). The purpose of this report is to illustrate how an intraspinal lumbar synovial cyst can have a similar presentation. CASE PRESENTATION: A 52-year-old man presented with low back pain with left lower extremity weakness and distal radiation. An electrodiagnostic evaluation was consistent with lumbar-sacral radiculopathy. Computed tomography and magnetic resonance imaging showed a synovial cyst of the L4-5 facet joint. INTERVENTION: RESULTS: There were no postoperative complications. The patient had residual left lower extremity numbness but gradually regained the strength of his left lower extremity. Intraspinal synovial cyst can mimic the clinical pattern of NHP. CONCLUSION:
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Authors | P J Marion, N Kahanovitz |
Journal | Archives of physical medicine and rehabilitation
(Arch Phys Med Rehabil)
Vol. 76
Issue 11
Pg. 1011-3
(Nov 1995)
ISSN: 0003-9993 [Print] United States |
PMID | 7487447
(Publication Type: Case Reports, Journal Article)
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Topics |
- Diagnosis, Differential
- Electromyography
- Humans
- Intervertebral Disc Displacement
(diagnosis)
- Low Back Pain
(etiology, physiopathology)
- Lumbar Vertebrae
(diagnostic imaging, innervation, pathology)
- Magnetic Resonance Imaging
- Male
- Middle Aged
- Sacrum
(innervation)
- Spinal Diseases
(complications, diagnosis, surgery)
- Synovial Cyst
(complications, diagnosis, surgery)
- Tomography, X-Ray Computed
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