Epidural gas-containing pseudocyst leading to lumbar radiculopathy: A case report

Published on Aug 26, 2021in World Journal of Clinical Cases1.013
· DOI :10.12998/WJCC.V9.I24.7279
#1Wei-Chiang LiuH-Index: 2
#2Sang-Ho LeeH-Index: 54
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Abstract Objectives To evaluate the morphological characteristics and clinical significance of epidural gas based on computed tomography (CT) and magnetic resonance imaging (MRI) findings and to determine their relationship with radiculopathy. Materials and Methods Between March 2009 and November 2018, 110 epidural gas lesions were identified in 103 patients who underwent both CT and MRI for suspected herniated disc in the authors’ institution. Patterns of epidural gas were classified as air pse...
1 CitationsSource
#1Bin Zhu (PKU: Peking University)H-Index: 6
: The isolated epidural gas-containing pseudocyst is an uncommon pathogenic factor for severe pain of the lower limb as a result of nerve root compression. After reviewing these rare cases reported in the literature, we found that the name, pathogenesis, and treatment strategy of this pathology remained controversial. The most common treatment is conservative treatment or percutaneous aspiration which might result inpoor pain relief and high recurrence rates. Moreover, the patient who received o...
6 Citations
The authors report a case of symptomatic epidural gas accumulation 2 weeks after the multi-level lumbar surgery, causing postoperative recurrent radiculopathy. The accumulation of epidural gas compressing the dural sac and nerve root was demonstrated by CT and MRI at the distant two levels, L3-4 and L5-S1, where vacuum in disc space was observed preoperatively and both laminectomy and discectomy had been done. However, postoperative air was not identified at L4-5 level where only laminectomy had...
6 CitationsSource
#1Yousuke KakitsubataH-Index: 15
Last. T. MaeharaH-Index: 4
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Study Design.Four cases of computed tomography and magnetic resonance imaging documented lumbar nerve root compression associated with a vacuum disc communicating with the epidural space are presented.Objective.To give an insight into the mechanism of nerve root compression associated with vacuum di
32 CitationsSource
The presence of gas in the intervertebral disk space, known as the vacuum phenomenon, is a relatively common radiologic finding, especially on computed tomographic investigation. In a few cases, the gas can be collected into the lumbar spinal canal and can also compress the nerve root. To date only seven cases of symptomatic lumbar radiculopathy caused by a bubble of gas are reported in the literature. The presence of gas inside a narrowed disk and the collection of gas in the spinal canal sugge...
20 CitationsSource
#1Andrea RighiniH-Index: 24
#2Silvia Lucchi (University of Milan)H-Index: 3
Last. Agostino Bettinelli (University of Milan)H-Index: 1
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✓ A limited number of cases have been reported in which gas-containing lumbar disc herniation caused compression of nerve roots. The authors describe two patients in whom computerized tomography scanning revealed a large intraspinal gas collection that appeared to be causing nerve root compression and that was successfully evacuated by percutaneous needle aspiration.
16 CitationsSource
Study Design. An unusual case of foot drop occurring 10 days after disc surgery is reported. Imaging studies identified a gas bubble compressing the nerve root. Objective. To describe the origin and management of a radiculopathy caused by an intraspinal gas bubble. Summary of Background Data. A recurrent lumbar disc herniation was diagnosed by clinical and imaging studies. A vacuum disc also was noted at the same level. These are common and not considered to be of pathologic significance. Method...
32 CitationsSource
#1Hirotoshi YoshidaH-Index: 3
#2Kenichi ShinomiyaH-Index: 68
Last. Isakichi YamauraH-Index: 7
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Study Design. Three cases of lumbar nerve root compression associated with intradiscal gas formation and its migration are reported. Objectives. To establish the pathogenic mechanism by which gas is formed in the spinal canal. Summary of Background Data. Few such cases have been reported of patients with clinical symptoms of lumbar radiculopathy resulting from gas in the spinal canal. Methods. Surgery with needle aspiration of the gas was performed in all cases. Results. The presence of the gas ...
72 CitationsSource
#1Theresa M. Cheng (Mayo Clinic)H-Index: 5
#2Michael J. LinkH-Index: 59
Last. Burton M. Onofrio (Mayo Clinic)H-Index: 30
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✓ Extreme lateral disc herniations are increasingly recognized as a cause of lumbar nerve root compression syndromes. This disorder often presents major diagnostic and therapeutic challenges, especially in the presence of multiple degenerative changes and chronic back pain in elderly patients. The authors describe two patients with presentations and findings that have not been previously described in the literature. Both patients had histories of upper lumbar back and leg pain. Degenerative spin...
28 CitationsSource
#1Wayne W. Mortensen (Scripps Health)H-Index: 1
#2Roger P. ThorneH-Index: 1
Last. William F. DonaldsonH-Index: 35
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four cases of radiographically documented and surgically confirmed cases of herniated discs containing gas are presented. All four patients presented with radicular symptoms secondary to the gas-containing herniations
62 CitationsSource
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