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I Have A Perineural Cyst At D12 L1 Region And

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Posted on Sat, 1 Jun 2019
Question: I have a perineural cyst at d12 L1 region and i am suffering from leg pain and burning sensation in thighs. Is the cyst causing these symptoms
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Follow up: Dr. Sudhir Kumar (0 minute later)
I have a perineural cyst at d12 L1 region and i am suffering from leg pain and burning sensation in thighs. Is the cyst causing these symptoms
doctor
Answered by Dr. Sudhir Kumar (21 hours later)
Brief Answer:
Yes, cyst could be the cause.

Detailed Answer:
Hi,

Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.

I have noted your clinical details. Yes, it is possible that the perineural cyst in the region of D12-L1 is compressing the nerve that comes to leg/thigh, causing pain and burning.

To confirm, you would require detailed neurological examination and careful analysis of MRI findings.

Please upload the MRI scan report.

I sincerely hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,     
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Sudhir Kumar (0 minute later)
Brief Answer:
Yes, cyst could be the cause.

Detailed Answer:
Hi,

Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.

I have noted your clinical details. Yes, it is possible that the perineural cyst in the region of D12-L1 is compressing the nerve that comes to leg/thigh, causing pain and burning.

To confirm, you would require detailed neurological examination and careful analysis of MRI findings.

Please upload the MRI scan report.

I sincerely hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,     
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sudhir Kumar (45 hours later)
MRI Impressions
At D12 L1 there is a small simple cyst measuring 4mm within the transversing nerve root bundle causing severe adjacent nerve root impingement suggestive of perineural cyst

Broad based posterior disc protrusion noted at L4 and L5 and L5 and S1 causing mild anterior thecal sac indentation with no adjacent and transversing nerve root impingement.

Mild facetal arthropathy changes noted in lumbar spine
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Follow up: Dr. Sudhir Kumar (0 minute later)
MRI Impressions
At D12 L1 there is a small simple cyst measuring 4mm within the transversing nerve root bundle causing severe adjacent nerve root impingement suggestive of perineural cyst

Broad based posterior disc protrusion noted at L4 and L5 and L5 and S1 causing mild anterior thecal sac indentation with no adjacent and transversing nerve root impingement.

Mild facetal arthropathy changes noted in lumbar spine
doctor
Answered by Dr. Sudhir Kumar (7 hours later)
Brief Answer:
The findings are significant.

Detailed Answer:
Thank you for getting back with detailed MRI reports.

Yes, the cyst is significant in size, and it is putting pressure on the nerve root bundle.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Sudhir Kumar (0 minute later)
Brief Answer:
The findings are significant.

Detailed Answer:
Thank you for getting back with detailed MRI reports.

Yes, the cyst is significant in size, and it is putting pressure on the nerve root bundle.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Sudhir Kumar (18 hours later)
Is it possible to remove the cyst because it has been five months since i am suffering from the pain.
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Follow up: Dr. Sudhir Kumar (0 minute later)
Is it possible to remove the cyst because it has been five months since i am suffering from the pain.
doctor
Answered by Dr. Sudhir Kumar (16 minutes later)
Brief Answer:
Yes, it is possible.

Detailed Answer:
Thank you for getting back.

It is possible to remove the cyst, which is causing compression of the nerve. If the pain is not relieved with medicines, removal of cyst may be needed.

Best wishes,

Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Sudhir Kumar (0 minute later)
Brief Answer:
Yes, it is possible.

Detailed Answer:
Thank you for getting back.

It is possible to remove the cyst, which is causing compression of the nerve. If the pain is not relieved with medicines, removal of cyst may be needed.

Best wishes,

Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (2 days later)
What is the procedure used for removal of cyst ?
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Follow up: Dr. Sudhir Kumar (0 minute later)
What is the procedure used for removal of cyst ?
doctor
Answered by Dr. Sudhir Kumar (3 hours later)
Brief Answer:
Please consult a Neurosurgeon

Detailed Answer:
Thank you for getting back. Please consult a neurosurgeon for knowing the technical details of removal of cyst.

Best wishes,

Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Sudhir Kumar (0 minute later)
Brief Answer:
Please consult a Neurosurgeon

Detailed Answer:
Thank you for getting back. Please consult a neurosurgeon for knowing the technical details of removal of cyst.

Best wishes,

Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6231 Questions

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I Have A Perineural Cyst At D12 L1 Region And

I have a perineural cyst at d12 L1 region and i am suffering from leg pain and burning sensation in thighs. Is the cyst causing these symptoms