J Korean Orthop Assoc.  2020 Apr;55(2):183-187. 10.4055/jkoa.2020.55.2.183.

Treatment of Cervical Perineural Cyst by the Transforaminal Epidural Steroid Injection

• Hwang JK
• Choi SW
• Kim CH

• KMID: 2502274
• DOI: http://doi.org/10.4055/jkoa.2020.55.2.183

Abstract

Perineural cysts are usually discovered incidentally; only approximately one percent of such cysts are symptomatic. Symptomatic cervical perineural cysts, of which only five case reports have been found in the literature, are extremely rare and there is no consensus regarding treatment. When a cervical perineural cyst is discovered in a patient with cervical radiculopathy without the cause of other apparent compression, the cyst can be considered as a possible cause of cervical radiculopathy. In such cases, non-surgical conservative treatment can be considered before any surgical intervention. We reported the successful treatment of case of a 40-year-old woman with a symptomatic cervical perineural cyst by oral steroids and transforaminal epidural steroid injection.

Keyword

cervical spine; perineural cyst; radiculopathy; conservative treatment; transforaminal epidural steroid injection