Case Report
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jul 18, 2016; 7(7): 452-457
Published online Jul 18, 2016. doi: 10.5312/wjo.v7.i7.452
Hemorrhagic lumbar synovial facet cyst secondary to transforaminal epidural injection: A case report and review of the literature
Hossein Elgafy, Nicholas Peters, Justin E Lea, Robert M Wetzel
Hossein Elgafy, Nicholas Peters, Justin E Lea, Robert M Wetzel, Department of Orthopedic Surgery, University of Toledo Medical Center, Toledo, OH 43614, United States
Author contributions: All the authors contributed in outlining the manuscript, gathering the data, and writing the manuscript.
Institutional review board statement: This case report was exempt from the Institutional Review Board.
Informed consent statement: The patient involved in this study gave her written informed consent authorizing use and disclosure of her protected health information.
Conflict-of-interest statement: None of the authors have any financial or any other conflicts of interest that may bias the current study.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Hossein Elgafy, MD, MCH, FRCSEd, FRCSC, Department of Orthopaedic Surgery, University of Toledo Medical Center, 3065 Arlington Avenue, Toledo, OH 43614, United States.
Telephone: +1-419-3833515 Fax: +1-419-3836170
Received: January 25, 2016
Peer-review started: January 26, 2016
First decision: March 1, 2016
Revised: March 12, 2016
Accepted: May 10, 2016
Article in press: May 11, 2016
Published online: July 18, 2016
Core Tip

Core tip: With modern advances in magnetic resonance imaging studies, synovial cysts are seen with degenerative lumbar facet disease. A symptomatic synovial cyst usually presents with a gradual onset low back pain originating from facet arthropathy and radicular pain or neurogenic claudication due to nerve roots compression. Previous reports showed synovial cyst can present with a progressive radicular pain and weakness secondary to spontaneous hemorrhage into the cyst. To the authors’ best knowledge, this is the first case report of iatrogenic hemorrhagic lumbar synovial cyst.