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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For An Arachnoid Cyst

hi i have undergone a MRI - Lumbo sacral spine scan today the impression are 1.moderate Lumar spine scoliosis with concavity to left 2. mild central lumar canal narrowing at L3/L4 to L4/L5 and L5/S1 3. L4/L5 Disc mild diffuse annular bulge mildly indenting ventral thecal sac centrally 4. L5/S1 dis mild diffuse bulge without neural compromise 5. Small incidental intra/extra dural csf iso intense arachonid cyst at S2 dis around right S2 nerve root with mildly widened scallaped spinal canal

can you pls let me know what it exactly
Mon, 1 Sep 2014
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General & Family Physician 's  Response
welcome to Health care magic.
1.Incidental asymptomatic cysts are managed conservatively.
2.Symptomatic cysts can be treated with surgical excision. An important component of surgical treatment of epidural cysts includes closure of the arachnoid defect that can be a source of a CSF leak ( as complications).
3.So let it be treated for disk and spondylosis. which is initially treated with exercises and physiotherapy.
4.Finally the treatment of choice will be operative / interventional procedure.
5.But recommend a followup MRI scan for every 6 months initially then yearly - if any changes are there - then action can be taken ( regarding cyst).
Hope it helps you. Wish you a good health.
Anything to ask ? do not hesitate. Thank you.
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Suggest Treatment For An Arachnoid Cyst

welcome to Health care magic. 1.Incidental asymptomatic cysts are managed conservatively. 2.Symptomatic cysts can be treated with surgical excision. An important component of surgical treatment of epidural cysts includes closure of the arachnoid defect that can be a source of a CSF leak ( as complications). 3.So let it be treated for disk and spondylosis. which is initially treated with exercises and physiotherapy. 4.Finally the treatment of choice will be operative / interventional procedure. 5.But recommend a followup MRI scan for every 6 months initially then yearly - if any changes are there - then action can be taken ( regarding cyst). Hope it helps you. Wish you a good health. Anything to ask ? do not hesitate. Thank you.