L5 radicular pain related to lumbar extradural gas-containing pseudocyst

Bosser, V.; Dietemann, J L; Warter, Jean‐Marie; Solignac, Matthieu; Beaujeux, R.; Buchheit, F

doi:10.1007/bf00340142

Cited by 45 publications

(39 citation statements)

References 5 publications

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“…CT-guided aspiration may be possible, but recurrences have been reported. 1,3) As our patient had no pain relief with conservative therapy, he underwent removal of the herniated disc containing gas at both regions via different approaches with excellent pain relief postoperatively.…”

Section: Discussionmentioning

confidence: 88%

Gas-Containing Disc Herniations: Dual Nerve Root Compression at a Single Disc Level

Ryu

Rathi

Shin

et al. 2012

Neurol. Med. Chir.(Tokyo)

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A 72-year-old man presented with gas-containing disc herniations resulting in dual nerve root (exiting and traversing root) compression at the single level manifesting as lower back pain with the right anterolateral thigh and medial calf pain and no response to 4 weeks of conservative treatment. Physical examination revealed positive Lasegue's sign at 409 , but the patient had no evidence of neurological deficit. Magnetic resonance imaging showed two separate disc herniations, a posterocentral herniated disc that had migrated inferiorly at the L3-4 level and compressed the L4 traversing root, and another that had compressed the L3 exiting root in the extraforaminal area at the same level. Coronal computed tomography demonstrated the presence of gas in the spinal canal and extraforaminal area at the L3-4 level, and the vacuum phenomenon was also noted at the L3-4 intervertebral disc. Microscopic discectomy was performed using midline and paramedian approaches, and the presence of gas was confirmed by bubbles after pouring saline into the area intraoperatively. Histological examination revealed fibrous tissue. The patient was discharged with complete relief of pain. This is a rare case of symptomatic gas-containing disc herniations causing dual compression of exiting and traversing roots at a single disc level.

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Section: Discussionmentioning

confidence: 88%

Gas-Containing Disc Herniations: Dual Nerve Root Compression at a Single Disc Level

Ryu

Rathi

Shin

et al. 2012

Neurol. Med. Chir.(Tokyo)

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“…Recurrence of a gas pseudocyst was reported after CT-guided percutaneous needle aspiration or surgery with needle aspiration 2,3,10) . The patient in the present study underwent complete decompression and fusion to remove the lesion because she showed severe neurologic deficit.…”

Section: Case Reportmentioning

confidence: 99%

“…However, in that case, the gas pseudocyst was connected to the L2-L3 intervertebral disc, which contained intradiscal gas; which differs from the present case. Bosser et al 2) reported L5 radicular pain related to a lumbar extradural gascontaining pseudocyst that was treated by CT-guided aspiration. Different from these prior cases, this case with a foraminal gas pseudocyst that was associated with a sudden foot drop, which Fig.…”

Section: Case Reportmentioning

confidence: 99%

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Sudden Foot Drop Caused by Foraminal Gas Pseudocyst

Kim

et al. 2011

J Korean Neurosurg Soc

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A foraminal gas pseudocyst is a rare cause of lumbar radiculopathy. The association with a sudden foot drop has not been previously reported. Here, a 67-year-old woman with sudden foot drop on the left side is reported. Computed tomography and magnetic resonance imaging identified a foraminal gas containing lesion compressing the left L5 root at the L5-S1 foramen. The foraminal gas containing lesion compressing the L5 ganglion was successfully removed by the posterior approach. The histological diagnosis was a gas pseudocyst. This unique case of surgically proven gas pseudocyst indicates that it should be included in the differential diagnosis of patients presenting with sudden foot drop.

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“…There have been several reports of gas in the spinal canal, with or without disc material, causing nerve root compression [2][3][4][5]8,12,14,16) . However, gas-filled intradural cysts are rare.…”

Section: Introductionmentioning

confidence: 99%

Gas-Filled Intradural Cyst within the Cauda Equine

Cho

Lee

Kim

2011

J Korean Neurosurg Soc

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A case of radicular pain that resulted from a gas-filled intradural cyst in an 80-year-old male is described. Temporary improvement of radicular pain was observed after CT-guided aspiration. However, recurrent radicular pain led to surgical treatment. In this report, the authors document the radiologic and intraoperative features of a gas-filled intradural cyst that migrated into the nerve root, and propose an optimal treatment plan based on a review of the literature.

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L5 radicular pain related to lumbar extradural gas-containing pseudocyst

Abstract: L5 radicular pain related to an epidural gas-containing pseudocyst is described in a 62-year-old female. Transient resolution of radicular pain was observed after CT-guided gas aspiration. Recurrent radicular pain led to surgical treatment; after operation the radicular pain disappeared.

Cited by 45 publications

References 5 publications

Gas-Containing Disc Herniations: Dual Nerve Root Compression at a Single Disc Level

Gas-Containing Disc Herniations: Dual Nerve Root Compression at a Single Disc Level

Sudden Foot Drop Caused by Foraminal Gas Pseudocyst

Gas-Filled Intradural Cyst within the Cauda Equine

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