Salih HATTAPOĞLU, Yahya TURAN, Kağan KAMAŞAK, Adnan CEVİZ, Cüneyt GÖÇMEZ, Tevfik YILMAZ

İdrar inkontinansı ile birlikte lomber intraspinal sinovyal kist: Olgu sunumu ve literatür incelemesi

Sinovyal kistler epidural kompresif sendromları olan olgu-larda nadiren görülmektedir. Radiküler semptomlarla diskhernilerini taklit edebilen intraspinal lezyonlardır. Yirmi se-kiz yaşında bayan hasta, altı aydır süren bel ağrısı, biraydır idrar kaçırma ve son iki haftadır giderek artan sağ bacak ağrısı ve uyuşma gibi radiküler şikayetlerle baş-vurdu. Fizik muayenesinde; gastrokinemius kasında güçkaybı (4/5), sağ L5,S1 hipoestezisi ve idrar inkontinansı tespit edildi. Manyetik rezonans görüntülemede, L5-S1 seviyesinde intraspinal kist görüldü. Olguya bilateral L5hemiparsiyel laminektomi, foraminotomi ve kist eksizyonuyapıldı. Hastanın özellikle idrar inkontinansı olmak üze- re postoperatif erken dönemde şikayetleri geriledi, bir yıl sonraki kontrol muayenesinde hiç bir şikayetinin olmadığı, motor ve duyu kaybının da tamamen düzeldiği gözlendi.

Lumbar intraspinal synovial cyst with urine incontinence: A case report and review of the literature

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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