Content
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1Cyst of the spine: what is it and how dangerous it is
- 1.1General information
- 1.2Etiology
- 1.3Possible consequences and complications
- 1.4Classification
- 1.5Perineural
- 1.6Periarticular
- 1.7Syringomyelic
- 1.8Solitary
- 1.9Likvornaya
- 1.10Kista Tarlova
- 1.11Epidermoid
- 1.12Aneurysmal
- 1.13Methods of therapy
- 1.14Alternative medicine
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2Perineural cyst of spine: causes, symptoms and treatment
- 2.1Causes of the disease
- 2.2Symptoms of the disease
- 2.3Features of the disease
- 2.4Diagnosis of the disease
- 2.5Therapy
- 2.6Therapy with medicines
- 2.7Surgical Therapy
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3The appearance of the cyst of the spine
- 3.1Classification of varieties of pathology
- 3.2Clinical signs of a benign spine tumor
- 3.3Cervical cyst
- 3.4Swelling of the thoracic region
- 3.5Lesion of the lumbosacral spine
- 3.6Diagnosis of pathology
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4What is the perineural cyst of the spine and how to treat a limited formation filled with fluid
- 4.1What it is
- 4.2Causes of appearance
- 4.3Clinical picture
- 4.4Diagnostics
- 4.5Healing measures
- 4.6Medication Therapy
- 4.7Folk remedies and recipes
- 4.8Surgical intervention
- 4.9Prognosis of recovery and possible complications
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5Causes of the origin of the cyst, its symptoms and signs
- 5.1Why does the disease occur?
- 5.2Clinical picture
- 5.3Perineural formation: what is its danger?
- 5.4Neoplasm, localized in the neck
- 5.5Tumor in the chest area
- 5.6Cavity near the waist
- 5.7Manifestations of arachnoid neoplasm
- 5.8What is periarticular tumor?
- 5.9How does the tumor develop?
- 5.10Aneurysm formation
- 5.11Diagnosis of the disease
- 5.12Therapeutic events
- 5.13Surgical treatment
- 5.14Prognosis of pathology
Cyst of the spine: what is it and how dangerous it is
The cyst of the spine is a benign tumor that is located in the spinal column and contains the liquor fluid inside it. More often it affects the cervical and sacral department. The initial phases of its formation occur asymptomatically.
But as it increases, the cyst begins to exert a strong pressure on the nerve endings, which provokes occurrence of the expressed painful syndrome which is not removed or taken out after reception of anesthetizing preparations.
This is the main sign of the development of pathology.
General information
As practice shows, the cyst is more often diagnosed in people in 20 - 35 years, which is associated with excessive physical exertion and overwork.
However, in older people it also occurs quite often, which is caused by the "wear" of the musculoskeletal system and the development of joint diseases.
By themselves, education is a benign tumor whose walls are formed from dead tissue.
They can affect both the spinal cord itself and its trunk.
In rare cases, these formations affect the vertebral column itself, which is characterized by the appearance of a small bump on the back under the skin.
Clinically, the cyst manifests itself as a marked pain syndrome, which can occur immediately in several parts of the spine. However, in medical practice, there were cases when such neoplasms did not manifest themselves in any way, despite their large size.
Vertebrate cysts can form in different parts of the back. However, more often patients are diagnosed with a teratoma of the cervical or lumbosacral spine.
In this case, they have a marked symptomatic picture, accompanied not only by soreness in the back, but also by rapid fatigue, CNS disorders, gait changes, etc.
Etiology
Factors that can trigger the emergence of tumors in the spine are many. Among them, the most common injuries, hemorrhages and hypodynamic disorders of bone tissue.
It should be noted that education on the back can be not only acquired, but also congenital.
And in the latter case, an important role is played by abnormal disturbances in the formation of embryonic tissues during the period of intrauterine development.
.However, such formations, as a rule, are not diagnosed immediately after birth. For the first time they begin to show themselves at the age of 14 - 17 years. Why this happens, experts still can not justify.
.But it must be said that in the presence of congenital pathology, patients have other disorders in the development of internal organs and systems, which, incidentally, are detected in the first months after birth.
The causes of acquired cysts are much greater. Among them are:
- Tumors of the spinal column.
- Injuries (fractures, bruises).
- Inflammation of the spine tissue resulting from joint diseases.
- Dystrophy of the spine, developing against a background of reduced activity.
- Excess body weight.
- Hemorrhages, etc.
Possible consequences and complications
Talking about what a cyst in the spinal column is and what symptoms are typical for it, it is impossible not to say about the possible consequences that a tumor can lead to. It's all about the fact that education data are characterized by active growth.
The amount of liquor or hemorrhagic fluid is constantly increasing, which leads to stretching of their walls and increasing pressure on nearby tissues.
And since the spine is all permeated with nerve endings, they are also subjected to pathological processes.
Under constant pressure, the nerve roots are damaged and die, which leads to a decrease in the sensitivity of the skin and lower limbs. That is, a person ceases to feel pain, exposure to hot or cold temperatures, etc. There are also frequent numbness and cramps.
In addition, if the cysts are not treated in a timely manner, this may entail the displacement of the intervertebral discs and their deformation (protrusion occurs). And this is dangerous with the development of many diseases, among which is scoliosis, osteochondrosis, etc.
In addition, all neoplasms, including those that are in the spine, can become inflamed and fester. And this is fraught with the development of sepsis and abscess. These conditions are very dangerous, since in a matter of hours they can lead to death.
Therefore, knowing about what a cyst is and how dangerous it is, everyone should be more attentive to health and the appearance of the first signs of the development of pathology, immediately turn to the doctor.
Classification
Depending on the location of education and the reasons for its formation, the cyst is divided into several types:
- perineural;
- periarticular;
- syringomyelic;
- solitary;
- teroloma of Tarlova;
- liquor;
- epidermoid;
- aneurysmal.
Perineural
As a rule, this education is formed in the lumbar region or the sacral region of the back and is most often congenital in nature. Its peculiarity is that it does not grow to large sizes and practically does not manifest itself.
Its appearance in the lumbar and sacral section looks like a small hanging pouch, the walls of which consist of spinal nerves. Inside it, it contains liquor fluid.
The only symptom that this pathology can manifest is the dull pain that occurs in the projection of the finding of formation under strong physical exertion.
.If the size of the cyst does not exceed 15 mm, then conservative therapy is used, which is aimed at suppressing the growth of tumor cells and the occurrence of complications.
.If the volume exceeds 15 mm, then treat it exclusively surgically.
Periarticular
The periarticular cyst is mainly affected by the intervertebral joint or cervical spine. It has no synovial lining, and therefore, as it grows, it easily destroys the connection with the joints.
This type of neoplasm refers to the synovial type and is a continuation of the periarticular bag that surrounds the intervertebral and humeral joints.
It can form in the womb in the process of disrupting the development of the arcuate joint and bone tissue, as well as against the background of injuries, inflammations and excessive physical exertion.
This formation has one more name - paraarticular and synovial. And it manifests itself by such symptoms as:
- Frequent dizziness.
- Hypertension.
- Decreased sensitivity of the upper limbs.
- Pain in the cervical spine.
The treatment of the para-articular cyst is carried out mainly surgically.
Lack of timely therapy can lead to paralysis of the upper limbs and severe neurological disorders.
In addition, the synovial cyst negatively affects the joints, which is fraught with a violation of motor functions.
Syringomyelic
This is the most dangerous tumor of the spine, as it has the ability to transform into a cartilaginous tissue.
This process is called syringomyelia and is manifested by severe pain.
Such formations are formed mainly in the cervical region and require cardinal measures - operations.
Solitary
This tumor occurs in the bone structures themselves and affects mainly tubular bones. It is diagnosed mainly in children and adolescents. In adults, it is rarely diagnosed, and most often it is a residual form of the disease.
Solitary cysts have different symptoms. In this case, the clinical picture directly depends on the location of the tumor.
So, if there is a lesion of the humerus, then the patients have severe pain in the upper limbs during movement.
.If the tumor appeared in the femur, this leads to a change in gait and lameness.
.As for medical measures, neither folk methods nor medicines can solve the problem. To get rid of the pathology, an operation is required.
Likvornaya
The liquor cyst directly affects the spinal cord and contains a spinal fluid.
Symptomatic in its occurrence also has a different character and it depends on the specific location of the tumor.
It can be painful sensations in the projection of her finding or some disorders in the functionality of internal organs (GI, kidney, liver, etc.).
Kista Tarlova
In medicine, it is referred to as arachnoid. It is represented in the form of a small sac, inside which there is a liquor fluid. The walls of the formation have a lining of the epithelium of the arachnoid shell of the spinal cord, from which it was given the name.
As a rule, lumbar, lumbosacral and sacral divisions are affected with such cysts.
The appearance of the arachnoid teratoma of the sacral spine is rarely manifested by painful sensations in this area.
They arise only in the event that the formation reaches a large size and clamps the nerve endings.
Until now, specialists can not name the exact reasons for the appearance of this pathology. But they have suggestions that in this case there is a connection between the abnormal development of the nervous membrane and the formation of the tumor.
Treatment of arachnoid cyst can be carried out both conservatively and operatively. Here a lot depends on the size of the neoplasm.
.If it is small and does not cause the patient special discomfort, conservative therapy is used.
.When the tumor has grown to a large size, and accompanied by a marked pain syndrome, it is impossible to do without surgery.
Epidermoid
Such tumors overwhelmingly affect the lumbosacral spine and are accompanied by severe pain in this area. They are found mainly in persons under 30 years old.
Such neoplasms have an internal multilayer epithelial lining, they contain a dense mass, which contains horny scales.
The main cause of their development are violations of the intrauterine movement of the epidermis in the embryonic phase.
Treatment without surgery with such a pathology can be done, but it usually does not give positive results.
Aneurysmal
The cause of its occurrence are mechanical damages of the spine, for example, fractures, bumps, bruises, etc. This tumor on its back looks like a vial, inside of which there is blood.
Speaking about the types of formations that arise in the cervical or lumbar spine (in the sacral orifice), it is necessary to say a few words about what a dorsal protrusion is. After all, this pathological process is closely related to the development of tumor diseases. Here there is a reciprocal link.
Dorsal protrusion is a condition in which intervertebral disc damage is documented. This can occur when getting injuries or developing other inflammatory diseases.
.It is the damage to the discs that most often provokes the occurrence of cysts, but their appearance can lead to the development of protrusion.
.Therefore, if there is a suspicion of a tumor in the spine, a complete examination is mandatory musculoskeletal system for other diseases and the identification of complications, which led to an actively progressive pathology.
Methods of therapy
How to treat tumors on the back, only the doctor decides after a complete examination of the patient. As already mentioned above, with a small size cyst, drug therapy is used, which includes taking medications:
- Causing inflammatory processes (NSAIDs).
- Relieving pain syndrome.
- Strengthening metabolism.
- Increasing immunity.
To eliminate pain, oral or local remedies may be used in the form of ointments and gels.
The first, as a rule, are applied in the presence of the patient's stomach diseases, in which the reception of a large number of medicines is undesirable.
However, it should be noted that such drugs are less effective than drugs in the form of tablets. Therefore, ointments in this pathology people rarely use.
In the event that medications do not help stop the growth of the tumor and the patient's condition only worsens, an operation is prescribed.
The cyst is excised completely, but before that, the pathological contents are extracted from it by a special syringe, which prevents infection of nearby tissues.
After surgery, the patient is prescribed a strict bed rest, taking antibacterial and immunostimulating drugs. The length of the rehabilitation period depends on the complexity of the operation and the size of the removed neoplasm. On average, it is 3 to 4 weeks.
Alternative medicine
If a cyst is detected, treatment with folk methods can be carried out only on condition that a small neoplasm that has not yet led to CNS disorders and has not triggered a bias vertebrae.
The most effective means for the appearance of a cyst of the sacrum is considered to be elecampane.
In this case, apply it in the form of infusion, which is prepared as follows: it takes 1 tbsp. l.
raw materials, poured 3 liters of boiled water and infused for several days in the refrigerator. After that, the infusion is filtered and taken at ½ cup 2 - 3 times a day.
.Thistle, or rather, its juice, is also no less effective in the treatment of this disease.
.To produce it, the plant is crushed, scrolled in a meat grinder and infused for 72 hours. The juice, which in this case will perform, must wander.
It should be taken 20-30 ml before each meal.
It is necessary to understand that cysts arising in the spine are dangerous and can lead to serious health problems.
Therefore, self-medication is by no means possible.
Alternative medicine can only be used as an adjunctive therapy and only after consultation with the attending physician.
A source: https://StopKista.ru/kista/pozvonochnika.html
Perineural cyst of spine: causes, symptoms and treatment
The perineural cyst is a benign formation that looks very much like a bag filled with a liquid. Sometimes there are cysts filled with blood. The main place of their appearance is the spine.
Causes of the disease
The perineural cyst of the vertebra may appear for several reasons.
These include:
- Hemorrhages.
- Injury of the back and its damage.
- Great burden on the spine.
- Inflammatory processes in soft tissues.
- Congenital tissue disorder in the fetus.
They are most often found in the sacral and lumbar spine. The vertebrae of the lower back are L, and the vertebrae of the sacrum are S. The number next to the letter indicates the number of the vertebral unit of this department.
For example, the perineural cyst at the S3 level indicates that it is located near the third vertebra in the sacral spine. It can be determined by CT.
If the doctor says that there is a perineural cyst S2, then this indicates that the neoplasm is located near the second vertebra of the lumbar spine.
Symptoms of the disease
The perineural cyst does not manifest itself in the early stages of development. Symptoms can be noticed only when the disease begins to progress.
An illness can be noticed from the following symptoms:
- There are violations of the neurological nature.
- There are painful sensations in the area of the cyst.
- There is a restriction in motion.
- There are malfunctions in the vestibular apparatus (balance is lost).
- The spine begins to deform.
- There are headaches and dizziness.
- In rare cases, the work of the small pelvis may be disrupted.
- There may be lameness.
- Sensitivity is broken in some parts of the spine.
- Often there is a sensation of chills (paresthesia).
If you have manifested the symptoms described above, then you should immediately call your doctor. Sometimes perineural cysts can provoke the emergence of very serious diseases that are difficult to treat.
Features of the disease
The perineural cyst has its own developmental features. In most cases, its appearance depends on the congenital diseases of man, which are related to the functions of the vertebral department. With them, spinal nerves can be squashed and very painful.
The etiology of the disease shows that the main causes of development of cysts in the lumbar and sacral area are traumas and processes of inflammatory nature.
When the size of the lesion becomes more than 2 centimeters, it begins to press down the spinal cord, thereby inducing the following manifestations:
- Painful sensations, when walking give in the buttocks.
- Discomfort and pain in the abdomen.
- Pain of the head.
- The legs begin to tingle.
- Violation of the intestinal tract.
- Feeling of weakness in the legs.
Diagnosis of the disease
When calling a doctor, you need to tell him the complaints and reasons for your visit. After he listens to you and conducts a primary examination, the doctor will begin the examination.
It is usually carried out using instrumental methods. They are used because the X-ray can not recognize such a cyst. Computer diagnostics (CT) and magnetic resonance imaging (MRI) determine cysts and neoplasms.
These methods are considered the most informative.
If a person has several cysts, then differential diagnosis is necessary. It will help to find out the causes of the appearance of certain neoplasms.
Doctors must check the patient for signs of Bechterew's syndrome and Parkinson's disease.
During the determination they use electroneuromyography, it allows to determine the presence or absence of spinal cord root damage. Failures in his work are the cause of the appearance of pain.
Unfortunately, there is not always an opportunity to determine the disease in time, most often it happens on a later date.
Ultrasonic examination (ultrasound) and analysis for detecting cancer cells (biopsy) are also often used to detect the disease. They will help to eliminate the formation of malignant tumors. If they are found, then immediate surgical intervention is required.
Therapy
Treatment of perineural cysts is carried out in several ways.
These include:
- Medication method.
- Surgical method.
The choice of treatment depends on the size of the cyst. If it does not exceed 2 centimeters, then conservative treatment with medications is used.
Therapy with medicines
This method is very similar to the treatment of osteochondrosis. Used anti-inflammatory drugs and physiotherapy. When detecting tumors, treatment with physiotherapy is strictly prohibited.
Therefore, before the treatment it is necessary to pass all the examinations, appointed by the doctor.
When taking medicines, you must strictly follow the doctor's recommendations, and it is not recommended to interrupt therapy without the doctor's permission.
Surgical Therapy
The operation is performed only at a cyst size of more than 2 centimeters, when it provokes the appearance of violations of the internal organs.
The essence of the treatment consists in the fact that the cysts are pumped out all the contents with a special device, and afterwards a special liquid is pumped into it that glues its walls.
This helps prevent the recurrence and filling of the cyst.
However, the operation is associated with certain risks.
These include:
- Violation of the integrity and functioning of the spinal cord.
- There may be spikes.
- Possible the development of meningitis postoperative.
Also, in rare cases, a new perineural cyst may be formed, which will be located next to the remote one. To avoid this, it is necessary to undergo treatment after the operation.
It will be held when you are in a medical facility under the supervision of a doctor. In rare cases, it is allowed to continue the house under the supervision of a specialist from the polyclinic.
The perineural cyst on the spine in the lumbar or sacral region delivers pain and discomfort to the person. Also, some functions of the body are disturbed.
.For example, if the cyst transmits nerves near the spine, then sensitivity may disappear. If you find symptoms and manifestations of the disease, you should immediately contact a specialist for help.
.The doctor will conduct all the examinations and establish a diagnosis, after which he will prescribe the treatment. Doing self-treatment is forbidden and dangerous!
A source: http://.ru/article/259722/perinevralnaya-kista-pozvonochnika-prichinyi-simptomyi-i-lechenie
The appearance of the cyst of the spine
The cyst of the spine is a hollow benign formation, a fairly rare disease. About,% of the population suffers from this disease.
Absolutely no one is insured from it. However, this pathology is mainly affected by people of a fairly young age.
Can patients do without an operation? What are the causes of pathology?
The formation of the acquired cyst can provoke absolutely different factors:
- helminthic invasions;
- hypodynamic bone disorder;
- uneven muscle loads;
- hypodynamia;
- metabolic disorder, excess weight;
- systemic ailments;
- infectious diseases;
- hemorrhage in the tissues of the spine;
- traumatization of the axial skeleton.
Only a very experienced neurosurgeon prescribes treatment of pathology, carries out operations.
Classification of varieties of pathology
In practice, neurosurgery is distinguished:
- Acquired cyst arises against the background of provoking factors. Genetic predisposition, defects of intrauterine development lead to the occurrence of a congenital anomaly - cysts of the spine, treatment is required immediately.
- The true cyst has features in the structure. Its cavity is covered with epithelial tissue. A false cyst does not have a mucosa inside the formation.
- Rapid growth is characterized by the tissue aneurysmal cyst on the spine, which arises and develops in the thickness of the bone tissue. In patients older than 60 years in most cases, a growing pararticular cyst of the acquired character is diagnosed. Arthrosis joints are often accompanied by such a serious ailment. The synovial cyst is a kind of this tumor. It is localized in the lumbar, cervical, intervertebral section of the axial skeleton.
- The arachnoid cyst develops latent at the latent stage, when clinically reliable signs are absent. The cerebrospinal fluid fills the cavity of the tumor. The cyst of the spine causes severe symptoms, as it squeezes the spinal cord. After excessive physical exertion, the intensity of pain in the affected area of the axial skeleton increases.
- The cyst of the spine significantly reduces the efficiency of the spinal cord. The cavity of the cyst is often the result of hemorrhages in the organ.
- Due to the mechanical trauma of the spinal column, a violation of the functions of the cerebrospinal fluid in the canal of the sacral section forms a perineural cyst. The tumor develops in the cervical or lumbar region. Synovial cyst occurs in 7% of cases, often causes severe compression of the spinal nerves.
Clinical signs of a benign spine tumor
On the first symptoms of the disease, few pay attention, so the pathology is often found entirely by accident. Depending on the stage of development of cysts on the spine and its magnitude, the symptoms of the newly formed tumor manifest themselves in different ways.
The etiology of the disease directly determines its clinical picture. In any department of the spine, there is such a neurological disorder. The tissues in the near-vertebral space are affected.
If the synovial cyst develops, the pathological fluid fills this neoplasm.
Cervical cyst
Typical symptoms occur at the stage of tumor growth:
- During the movement of the shoulders, the head appears circles before the eyes, pains of varying intensity intensify in the neck. These signs do not disappear at rest.
- Muscle spasm develops. For a long time, the muscles of the collar zone and neck are strained. Significantly worse vision.
- In the pathology of the cervical spine in the state of regulatory systems, instability is noted. Often, the arterial pressure rises. Suddenly there are sharp fluctuations of blood pressure in the direction of a decrease or increase.
- In a patient with a cyst on the spine, the orientation in space is lost. An episodic character can be dizziness of central origin, which is accompanied by instability. When moving, sluggish vertigo increases.
- Memory deteriorates drastically. As the tumor is squeezed by the spinal nerves, there are sharp pains and a sensation of severe burning in the head. These painful symptoms can not be stopped with the use of analgesics.
- Paresthesia of the fingers. Due to the infringement of the spinal nerve on the surface of the skin there is an unpleasant sensation of numbness or tingling. Due to lack of blood supply in the cervical region, the hands and fingertips become numb. A persistent disturbance of a night sleep is noted. The cervical cyst reduces the quality of life.
Swelling of the thoracic region
Various manifestations of pathology are noted:
- The most frequent complaint of patients is the expressed limitation in movements. Characteristic is the forced position of the body with pain. There is an overstrain of the intercostal and dorsal muscles.
- In the epigastric region there is often a feeling of nausea. A burning sensation appears behind the sternum. A complex reflex act of vomiting occurs more often.
- In the affected part of the spine, peritoneum, sternum often imitate or true pain sensations of the surrounding nature. With prolonged sitting or vigorous movement, the pain becomes more intense.
Lesion of the lumbosacral spine
Pathology is characterized by typical signs:
- The functions of the pelvic organs are disturbed. This is the cause of frustration of urination, poor performance of the intestinal tract.
- Violation of the nervous trophic causes paresthesia - numbness of the lower extremities, groin area.
- Patients complain of dull, sharp pain. Cyst of the lumbosacral spine is often accompanied by reflected pain in the leg. In the deep tissues of the limbs arises a marked soreness. Sharp pain is dangerous. It pierces the lower limb, causing suffering.
Diagnosis of pathology
Begin the treatment of the cyst of the spine in time. A thorough examination is necessary. It is necessary to address in the diagnostic center.
Magnetic tomography of the problematic anatomical zone is considered the most accurate diagnostic method.
Conservative methods to reduce the intensity of the inflammatory process usually treat a small tumor. In most cases, the cyst of the spine is removed during the operation.
The diagnosis, confirmed by the data of instrumental diagnostics, should be considered as an alarm bell.
A source: http://SustavLife.ru/bolezni/kista/kista-pozvonochnika.html
What is the perineural cyst of the spine and how to treat a limited formation filled with fluid
Almost every inhabitant of the planet experienced pain in the back. In most cases, an unpleasant symptom indicates an overload of a specific area of the spine, the course of pathological processes.
A single attack of pain remains without the patient's attention, but prolonged discomfort causes a person to consult a doctor.
Approximately 7% of the total mass of victims have a perineural cyst.
What does this medical term mean? How to deal with pathology? What signs indicate the disease? Answers to the questions are topical for today, because no one is immune from the appearance of the perineural cyst of the spine.
What it is
The perineural cyst is a limited formation that is filled with various fluids, localized in the spinal canal.
Neoplasm leads to squeezing of various structures in this area, which provokes constant discomfort.
A favorite area of localization is the sacral and lumbar spine.
The diagnosis must include the location of cystic education. Each department of the spine has a special designation.
The vertebrae of the sacral department are assigned the letter S (1-5), the lumbar region - L (1-5).
If the perineural cyst is at the level of the second vertebra in the sacral region, then this pathology is designated as -S2.
Causes of appearance
Perineural formation has a different etiology, the cyst can be congenital and acquired.
Neoplasm can form during intrauterine development, which is due to genetic malfunctions, the effect on the mother's body during pregnancy of various negative factors.
Acquired perineural cysts are formed against the background of the following other negative factors:
- inflammatory processes in the spine;
- traumatic injuries of the spine;
- physical overload of the sacral area. This situation is often observed in professional athletes, porters, other persons who improperly lift weights, perform work activities, and go in for sports.
Against the background of the above pathologies, the base of the spinal nerve expands, gradually it is filled with cerebrospinal fluid, increasing the pressure, preventing its circulation.
Clinical picture
The symptomatology of the perineural cyst depends on the location of the cyst, the size of the neoplasm.
If the formation is small enough (up to, cm), then the clinical picture may not appear, the patient in most cases does not suspect about the existing problem.
In the case of a huge cyst, unpleasant symptoms appear early enough, even in childhood, if the education is of an innate nature.
The pathological process is manifested by the following unpleasant symptoms:
- pain syndrome is localized in the lumbar, sacral area, extends to the buttocks. Unpleasant sensations increase during the movement of the victim, prolonged stay in a sitting position, after physical exertion;
- on a background of weakness of muscles of the patient begins to excruciate lameness that complicates conducting a habitual way of life, to carry out labor tasks;
- in some cases frequent dizziness, headaches;
- neglected situations lead to disruption of the pelvic organs (problems with urination, defecation, sexual dysfunction);
- many patients complain of tingling, a feeling of "runniness creepy" in the lower limbs.
On a note!The most pronounced clinical picture is observed with the formation of a perineural cyst at the level of S2, S3 vertebrae. Similar symptoms can indicate a lot of other ailments, so self-treatment is prohibited. If you experience discomfort, consult a doctor. Only the doctor will be able to correctly determine the cause of discomfort, to prescribe adequate therapy.
Diagnostics
If a perineural cyst is suspected at the level of the second vertebra in the sacral area, the victim is sent to an MRI. Magnetic resonance imaging can detect cystic formation, its location, size, the presence of damage to nearby tissues.
In the case of difficulties with diagnosis, the patient is assigned other studies:
- Radiography (carried out in several patents to obtain a detailed picture);
- Ultrasound (allows to detect pathological processes in the organs of the small pelvis, signs of other diseases);
- histology (cyst tissues are taken for analysis);
- analysis of blood, urine.
The set of the above described analyzes allows to collect a maximum of data about the patient, to find out the reason of painful sensations in the back, to prescribe the necessary therapy.
Healing measures
Therapy of the pathological process depends on the size of the cyst, the presence of damage to nearby tissues, disruption of the pelvic organs.
If the cystic formation at the level of the second vertebra in the sacral zone is no more than, cm - physicians use conservative methods of treatment.
In case of exceeding these sizes, the patient is shown surgical intervention.
It is important to change the habitual way of life:
- give up excessive physical exertion;
- get rid of addictions;
- normalize the diet, enrich it with protein products, lots of vitamins and fiber.
Follow the doctor's recommendations, take good care of your health. Postponing the trip to the doctor is fraught with serious consequences.
Medication Therapy
For the perineural cyst, the following groups of medicinal products are used:
- NSAIDs. Cope with the inflammatory process, reduce pain. Diclofenac, Dicloberl, Movalis, Ibuprofen, Meloxicam and others;
- analgesic medicines (Analgin, Baralgin);
- muscle relaxants, coping with muscle spasm, reduce the tension of muscle fibers. Midokalm, Sidaloud;
- vasoactive drugs (eg, Pentoxifylline). Medications improve metabolic processes, blood circulation;
- chondroprotectors. Medications have a positive effect on cartilaginous tissue, preventing its further destruction. Arthra, Teraflex Advance, Structum, Chondroitin Glucasamine, Dona;
- with the perineural cyst it is necessary to regularly take vitamins of group B, C. Pentovit, Milgamma, Neurobeks Neo, Neurorubin, Neuromultivitis and others.
Any medicine is prescribed exclusively by a specialist.It is strictly forbidden to take various medications on your own.
Folk remedies and recipes
In addition to drug treatment, many experts recommend adding natural remedies that positively influence health, speed up recovery processes.
Proven Recipes:
- elecampane. Tincture from this plant perfectly copes with formations of small size. To prepare this drug, take a tablespoon of yeast, dilute in three liters of warm water. In the finished solution, add 200 grams of finely chopped herb elecampane. Take this medication for about a month. Ready drug take every day for half a cup for a month;
- connect in the same proportion sporish, oregano, burdock roots, nettle, St. John's wort and the root of sorrel. Two tablespoons of the collection received, pour 500 ml of boiling water, insist for two hours. Then strain the drug, take half an hour before a meal of 50 ml three times a day. The duration of therapy is a month, if necessary, take a break for seven days and repeat the manipulations;
- combine in the same proportion the juice of the viburnum, floral honey. During the first week, take a quarter of a tablespoon of the drug on an empty stomach, the second - half, the third - the whole morning and evening. At the fourth week of treatment, doctors recommend using two teaspoons of a drug every day. Take a break for seven days, then resume the therapy in reverse order.
Surgical intervention
The operation is indicated if the cystic formation in the region of the spinal canal has reached a size of more than two centimeters, in the absence of positive shifts after drug therapy. The decision is made by an experienced physician, comparing the possible risks and benefits to the patient's health.
Manipulation is a puncture under the supervision of ultrasound.
Doctors with the help of a special device pumped out fluid from the cystic formation, introduce a special medication that promotes the fusion of the walls of the cyst.
The operation is performed under local anesthesia. Before the manipulation of the patient is prepared (strengthen immunity with the help of special therapy).
Carrying out of an operative intervention is connected with some risks about which the patient is warned before operation:
- accidental spinal cord injury;
- formation of postoperative meningitis;
- presence of adhesive process;
- relapse of the disease.
Avoid troubles after the operation will help to follow recommendations in the postoperative period, the choice of a qualified specialist, a proven clinic.
Prognosis of recovery and possible complications
Small cystic formations are asymptomatic, but the inflammatory process against the background of weakened immunity is progressing, which leads to an increase in neoplasm.
With the growth of the cystic cavity, nearby structures begin to damage (nerve endings, vessels).
The pathological process disrupts the cellular metabolism, provoking hypoxia of tissues, triggering degenerative - dystrophic changes, affect the appearance of pain syndrome in the sacral zone.
.The lack of adequate, timely therapy significantly limits the mobility of the lower limbs affected, leads to chronic discomfort in this area, can cause disruption of work pelvic organs.
.Conservative therapy techniques allow avoiding an operation that is potentially dangerous to human health (the risk of meningitis of meninges and other complications is great). It is important to visit the doctor on time in case of even minor discomfort.
Avoid the formation of the perineural cyst will help refrain from overloading the sacral department, timely relief of inflammatory processes in this zone. An important role is played by the person's way of life, the presence of harmful habits.
In most cases, it is impossible to insure against injuries.
But to observe safety precautions, take any action to prevent damage to the sacrum - it is quite realistic (fasten on trips, buy winter shoes with spikes to avoid falls and others actions).
The perineural cyst is not a sentence, but it leads to serious impairment of motor activity, painful sensations. Address in time to the doctor in order to avoid deplorable complications, take care of your health.
A source: http://vse-o-spine.com/bolezni/drugie/perinevralnaya-kista.html
Causes of the origin of the cyst, its symptoms and signs
The cyst of the spine requires prompt therapy. Symptoms of pathology are reflected in the quality of life, delivering physical and moral discomfort. The cyst on the spine is a cavity with a liquid inside. This formation can be located in different parts of the spine.
Diseases of this type are rare. Pathology is dangerous because it can have an asymptomatic course. There are many cases when it is diagnosed when another pathology is detected.
Depending on the symptoms, the doctor may suspect a pararticular cyst of the spine or perineural.
The cyst in the spine is characterized by joint pain. The pain syndrome differs in intensity, it directly depends on the size of the tumor.
The cyst in the lumbar region can manifest itself with very severe pain, which can not be stopped with analgesics. Distinguish the congenital and acquired pathology.
It is classified according to the morphology of the spine: the doctor can identify a true or false education.
Why does the disease occur?
The causes of the disease are associated with congenital anomalies of the body or the impact of external factors.
- The tissue of the fetus located in the womb of the mother may not be fully developed: because of this, spinal anomalies will arise. The data provoke the appearance of a tumor in the spine.
- The acquired form of the disease is associated with degenerative-dystrophic changes in vertebral tissues. One of the reasons for such changes is spinal column injuries.
- The arachnoid cyst of the sacral spine often occurs due to an incorrect distribution of physical exertion. Paraarticular cysts of the spine often develop in people who perform heavy physical work. It is impossible to allow that any particular part of the spine is under heavy load!
- Hypodynamic lifestyle is also harmful, it is a predisposing factor to the cyst on the spine: the symptoms in this case may manifest dull pain in the back. If a person moves little, the tissues of the spine are subjected to degenerative-dystrophic changes.
- Damage to the spinal column and tissues adjacent to it can also lead to this disease.
- The appearance of a cyst in the lumbosacral section often indicates that there is a parasitic infection in the body.
Clinical picture
A serious threat to health is the cyst on the spine: the symptoms of pathology interfere with the full vital activity. The nature of clinical manifestations depends on where the tumor is localized and what size it is.
If the periarticular cyst of the spine is small, the pathology proceeds secretly. There are many cases when a patient seeks a doctor with a complaint about another disease.
During the preventive examination, the doctor can identify the signs of the pararticular cyst of the spine.
It is worth noting that the treatment of the cyst of the spine should be very literate. Untimely therapy leads to the progression of the disease. As a result, the spinal roots are compressed more intensively and the person has more symptoms.
The arachnoid cyst of the spine is accompanied by neurological disorders, different in degree of severity. A person, being in a calm state, feels pain near the tumor. Unpleasant sensations, as a rule, irradiate into the buttocks.
Depending on the location of the tumor, the pain can spread to the limbs.
The appearance of a cyst in the lumbosacral section leads to a disruption in the functioning of the digestive system. Most patients experience problems with the genitourinary tract.
.The synovial cyst, like other species, is accompanied by a muscle weakness: against the background of such a problem a person limps, can not sit for a long time on the spot.
.Serious discomfort delivers the cyst of the cervical spine: the symptoms also manifest as a disruption of the vestibular apparatus.
Perineural formation: what is its danger?
In most cases, pathology is associated with intrauterine anomalies of the fetus. The perineural cyst is characterized by protrusion of the membranes of the spinal column.
If the disease is at the initial stages, a person does not sense its manifestations or accentuate them.
With the progression of the pathology, compression of the spinal nerves is observed.
Acquired syringomyelic disorders are often associated with injuries, bruises, affecting the spine.
Causes of the disease may lie in increasing the cerebrospinal pressure, resulting from a violation of the outflow of cerebrospinal fluid.
If you hold an X-ray, the picture shows that the perineural cyst contains fluid.
Neoplasm, localized in the neck
The disease proceeds secretly if the tumors do not reach impressive dimensions. The cyst of the cervical spine is manifested by syringomyelia with distinct pain in the cervical region.
The intensity of the pain syndrome depends on the stage of the disease. Unpleasant sensations, as a rule, amplify at movement.
.The peculiarity of the course of the ailment is that unpleasant sensations are given to the upper limbs. The cyst of the cervical spine is symptomatic.
.A person is worried about a headache, dizziness may occur. Education in the cervical spine leads to the fact that the pressure begins to "skip".
Tumor in the chest area
As is known, the nervous system has a relationship with the heart, pulmonary system and GIT. With the development of cysts in the thoracic spine, pain in the chest is observed. They can arise in a calm state.
Unpleasant sensations often appear in a sitting position. The cyst of the thoracic part is characterized by the tension of the back. The tumor squeezes certain nerves, resulting in severe pain.
One of the signs of pathology is intercostal neuropathy. Pain in the thoracic region often leads to a violation of swallowing, as a result, people will often spit up.
The cyst in the thoracic spine often provokes diarrhea disorders.
Cavity near the waist
The asymptomatic course is characteristic of a disease in which the tumor has not reached an impressive size. Cyst of the lumbar region is often detected when diagnosing other ailments.
If the formation reaches a large size, there is a vertebral symptomatology. There are disorders of a neurological nature. The cyst of the lumbosacral section is characterized by pain in the lumbosacral and articular regions.
They can be located in the sacrum and behind the sacral spine.
The formation of the lumbosacral section is manifested by intense pain in the lumbar region. Unpleasant sensations tend to radiate into the legs.
Against the background of such a disease, the sensitivity of the fingers may disappear. The ailment leads to a disruption in the functioning of the urogenital system. The process of urination worsens.
Pathology affects the muscle tone, disrupts the mobility of the spine.
Manifestations of arachnoid neoplasm
The arachnoid cyst of the sacral spine is an education that is formed from small particles of the spinal cord. The location of the tumor is the lumbosacral section.
The arachnoid cyst contains fluid and is a type of perineural cyst. As a rule, it has an innate character. The disease can take a long time to hide and reveal itself during the preventive examination. The average value of education is,
Progression leads to the fact that the spinal processes are squeezed.
As a result, the person has pain in the spine (mainly in the place of pathological education). Unpleasant sensations are intensified after intensive loads and turning. If the pathological tumor is localized in the cervical region, there is an intense headache.
.Arterial pressure "jumps". There are problems with urination, potency suffers. Arachnoid cyst leads to the fact that a person becomes inactive. The clinical picture depends on where the cyst is located.
.In some cases, there is a feeling of creepy skin.
What is periarticular tumor?
As a rule, it is formed in the region of the intervertebral joints and is connected with the vertebrae. The disease has acquired character, develops because of an underdosed physical load.
The cause of periarticular cyst can be degenerative-dystrophic changes in the spine and nearby tissues. Synovial cyst - a kind of periarticular.
It is part of the synovial bag located in the intervertebral joint.
The cause of the periarticular cyst of the spine may be a degenerative-dystrophic or inflammatory process in the spinal column.
Disease often occurs when physical stress is not met. The synovial cyst may be associated with impaired synovial pouch. Formation contains liquid contents.
The synovial cyst, as a rule, is located in the cervical and lumbar regions.
Ganglionic cyst may not show symptoms unless it has reached an impressive size. With the growth of education, pain in the lower back and cervical region is observed.
Unpleasant sensations are localized where the tumor is located. The periarticular cyst is characterized by radicular pain syndromes. The person is impaired motor activity.
In some cases, there are shooting pains.
How does the tumor develop?
Liquorv is a cerebrospinal fluid that circulates in the subarachnoid space of the spinal cord. With the development of pathology, pain radiates to the upper and lower extremities. Likvornaya cyst leads to impaired motor activity. In this disease, internal organs also suffer.
Aneurysm formation
Because of the fragility of bones, a person often has fractures. Aneurysmal cyst is mainly manifested in childhood. A common cause is trauma to the spine.
Painful sensations in the development of an aneurysmal cyst occur at the site of tumor localization. With the growth of neoplasm pain intensifies.
Aneurysmal cyst leads to widening of veins.
Diagnosis of the disease
The diagnosis is based on a comprehensive survey. The doctor collects an anamnesis, taking into account the patient's complaints.
For the diagnosis is required to find out the cause of specific violations. An examination of the back, chest, abdomen is carried out.
To assess the severity of the inflammatory process, you need to palpate. It should be indicated the location of the tumor.
To confirm the pathology, the doctor can prescribe radiography, ultrasound, CT and MRI. If necessary, myelography is recommended. During the procedure, the radiopaque substance is used.
It is injected into the spinal canal, and thus a picture is taken. As a result, the doctor reveals the patency of the spinal canal. Electromyography is performed to assess the condition of the spinal roots.
To finally confirm the cyst of the spine, you need to examine urine and blood.
Therapeutic events
Treatment of the cyst of the spine is always complex. Therapeutic measures are aimed at improving overall health and preventing complications.
Depending on the localization of education, the degree of the disease, the severity of the inflammatory process, the doctor prescribes conservative or surgical therapy.
In any case requires an integrated approach to the cyst of the spine: treatment without surgery is possible with relatively small lesions.
.Conservative therapy is effective in the absence of severe pain. It is carried out and in the event that the functioning of internal organs is not broken. The patient must comply with bed rest.
.You need to eat right: the doctor prescribes a diet, in which there is food with vitamins and beneficial microelements. The diet includes products containing phosphorus and calcium.
How to treat back with strong pain? Introduce an anti-inflammatory drug (Dicloberl or Analgin).
Medicines with vitamin B are prescribed without fail: they improve metabolic processes, have a general strengthening effect, increase the body's resistance to infections.
With the diagnosis of "Tumor in the spine a massage is required. The procedure is performed by a doctor in a specialized office. Remember: an independent massage will exacerbate the situation! The purpose of therapeutic and prophylactic manipulation is to strengthen the spinal muscles, restore the functioning of the spine.
Reflexotherapy involves the use of laser therapy or electro acupuncture. Therapeutic exercises are performed after the pain is removed. In the future, the patient is recommended to wear a corset, an elastic waistband.
Wearing specialized corsets helps to reduce the severity of pain and relieve spasm.
Surgical treatment
Surgical removal of the cyst is not always prescribed: it all depends on the degree of the disease and the severity of the inflammatory reactions. The operation helps restore the functions of the vertebrae and spine.
The aim of the intervention is to normalize the sensitivity of vertebrae and tissues, restore motor activity. Surgical treatment is necessary if the pathology has led to a disruption in the functioning of internal organs.
.The operation helps to prevent disability and increase work capacity. If the doctor identifies large tumors, surgery can not be avoided.
.In this case, a puncture or a cavitary operation is appointed, in which the tumor is removed from the walls.
Prognosis of pathology
With a small education, the forecast is most favorable. If it reaches an impressive size, you should immediately start surgical treatment.
Untimely therapy worsens the prognosis of pathology.
If you diagnose it in advanced stages, you will not be able to cure: the pathology will lead to disability and impairment of the functions of internal organs.
There are cases when the tumor of the lumbar spine recurs (appears again).
If a person begins to feel pain in the back or neck, go down a year after the operation, you need to contact a doctor again.
It is important to monitor your health and, if violations are found, come to the therapist. Remember that the treatment of the cyst of the spine should be complex.
Elementary prevention measures will help avoid a dangerous disease. A person should eat properly, avoid injuries, heavy physical exertion. Do not hypodynamia: lead a moderately active lifestyle.
It is necessary to control the weight, the condition of the internal organs, and undergo a preventive checkup every six months. A dangerous ailment is a cyst on the spine treated with folk remedies is not always effective.
The use of traditional medicine methods must be agreed with the doctor!
A source: http://kistayaichnika.ru/klassifikaciya/kista-pozvonochnika.html