Percutaneous treatment of gas-containing lumbar disc herniation

Abstract

<jats:p content-type="fine-print">✓ 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.</jats:p>

Extravertebral gas and fluid effusions associated with vertebral collapse containing a vacuum cleft possibly result from a pumping phenomenon: a new evidence of the dynamic hydro-pneumatical nature of the so-called vacuum phenomenon

“…Gas from vertebral disks may also be forced within intraspinal gaseous cysts or gascontaining herniations which may produce compressive radicular symptoms. Gas may also simply migrate in the epidural space (5,(24)(25). In these gaseous cysts or hernias, gas is generally injected under a certain pressure which is obtained in a stepwise fashion by a "ball-valve effect" or a "valve-pump mechanism" (1, 5).…”

Gas-Filled Intradural Cyst within the Cauda Equine

“…In the few reported cases of gas-containing cysts, some doctors performed intraoperative or percutaneous needle aspiration of the gas 14,16) , but the majority recommended surgical removal of the gas-filled cyst 2,5,10,11) . We considered the patient's advanced age and decided to perform CT-guided aspiration as the first line treatment.…”

“…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.…”

Nerve root compression caused by intraspinal gas accumulation. A case report

“…Kai ku riø au to riø nuo mo ne, jei du jø san kau pà su pa gra nu lia cinis au di nys, rei ka lin gas ope ra ci nis gy dy mas [19]. Ma noma, kad vien du jø as pi ra ci ja per pseu do cis tos sie ne lae yra ne pa kan ka mai efek ty vus gy dy mo me to das, nes dël anksèiau mi në to voþ tu vo-siur blio me cha niz mo du jos vël ga li su si kaup ti kap su lë je [22][23][24].…”