ABSTRACT

Symptomatic lumbar ganglion cysts are infrequent lesions that are particularly encountered in elder patients. We report a 21 years old patient who was presented with left radicular pain and paresia. Radiological investigations of the patient revealed a round, cystic epidural lesion compressing the L5 neve and the dural sac at L4-L5 level. The patient underwent successful microsurgical removal of the lesion. The pathological evaluation was consistent with a ganglion cyst. Although lumbar ganglion cysts are uncommon in young adults they should be considered in differential diagnosis, especially in patients presenting with radiculopathy. Meticulous microsurgical excision provides definite treatment and symptom relief and is particularly recommended in symptomatic cases.