Abstract
Purpose: To report a quite rare case of bilateral symptomatic synovial cysts of the lumbar spine. Surgical resection is usually the cure for this condition. Methods: A 65 year old female patient came to our department, complaining for severe lumbar and sciatic pain. MRI and CT were used to diagnose bilateral synovial cysts. Because of the intensity of symptoms, she was subjected to surgery. Laminectomy and cyst resection were performed. Results: The patient showed complete resolution of pain after the resection of the cysts. Conclusion: Although rare, bilateral synovial cysts may be the cause of severe lumbar pain. In cases of failure of conservative treatment, surgical resection offers good results.
Highlights
The formation of a unilateral synovial cyst is a seldom cause of back pain and sciatica in the elderly [1]
A 65 year old female patient came to our department, complaining for severe lumbar and sciatic pain
Conclusion: rare, bilateral synovial cysts may be the cause of severe lumbar pain
Summary
The formation of a unilateral synovial cyst is a seldom cause of back pain and sciatica in the elderly [1]. Bilateral symptomatic synovial cysts of the lumbar spine are very rare [1,2,3,4]. We report a case of a 65 year old female patient, with bilateral symptomatic synovial cysts at L4 L5 level. She presented with severe lumbar pain and bilateral sciatica. Because of the intensity of pain she had severe limitation of motion and walking. She underwent surgical resection of the cysts and presented complete resolution of pain
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