Epidural Pneumatic Pseudocyst with Lumbar Radiculopathy: Two Case Reports and Review of the Literature
Intradiscal vacuum phenomenon is commonly shown in radiographic studies of the degenerative spine. In terms of pathophysiology, intradiscal gas migrates to the epidural space, and then it could compress neural tissues and lead to severe radicular pain and/or neurologic deficits. Herein, we report tw...
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Format: | Article |
Language: | English |
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Korean Minimally Invasive Spine Surgery Society
2019-06-01
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Series: | Journal of Minimally Invasive Spine Surgery and Technique |
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Online Access: | http://www.jmisst.org/upload/pdf/jmisst-2019-00045.pdf |
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author | Bong Hyun Jin Jong Un Lee Tae-Hun Kim Ki-Hong Kim Man Kyu Choi Dae-Hyun Kim |
author_facet | Bong Hyun Jin Jong Un Lee Tae-Hun Kim Ki-Hong Kim Man Kyu Choi Dae-Hyun Kim |
author_sort | Bong Hyun Jin |
collection | DOAJ |
description | Intradiscal vacuum phenomenon is commonly shown in radiographic studies of the degenerative spine. In terms of pathophysiology, intradiscal gas migrates to the epidural space, and then it could compress neural tissues and lead to severe radicular pain and/or neurologic deficits. Herein, we report two patients with lumbar radiculopathy resulting from gas-containing pseudocysts at the L5-S1 space, including our treatment and literature review. One patient had been underwent L5-S1 partial laminectomy and removal of the gas-containing pseudocyst, and the other underwent right selective L5 root block. After the procedures, they didn’t have any remarkable complaints. In the present study, we suggest that surgical decompression may be effective in patients who were untreatable with conservative treatment. |
first_indexed | 2024-04-10T22:32:09Z |
format | Article |
id | doaj.art-a4d97e5d007f4808862ae2b79c3b7ea8 |
institution | Directory Open Access Journal |
issn | 2508-2043 |
language | English |
last_indexed | 2024-04-10T22:32:09Z |
publishDate | 2019-06-01 |
publisher | Korean Minimally Invasive Spine Surgery Society |
record_format | Article |
series | Journal of Minimally Invasive Spine Surgery and Technique |
spelling | doaj.art-a4d97e5d007f4808862ae2b79c3b7ea82023-01-17T04:15:23ZengKorean Minimally Invasive Spine Surgery SocietyJournal of Minimally Invasive Spine Surgery and Technique2508-20432019-06-0141333610.21182/jmisst.2019.0004558Epidural Pneumatic Pseudocyst with Lumbar Radiculopathy: Two Case Reports and Review of the LiteratureBong Hyun Jin0Jong Un Lee1Tae-Hun Kim2Ki-Hong Kim3Man Kyu Choi4Dae-Hyun Kim5 Department of Neurosurgery, Daegu Catholic University Medical Center, Catholic University of Daegu College of Medicine, Korea Department of Neurosurgery, Daegu Catholic University Medical Center, Catholic University of Daegu College of Medicine, Korea Department of Neurosurgery, Daegu Catholic University Medical Center, Catholic University of Daegu College of Medicine, Korea Department of Neurosurgery, Daegu Catholic University Medical Center, Catholic University of Daegu College of Medicine, Korea Department of Neurosurgery, Daegu Catholic University Medical Center, Catholic University of Daegu College of Medicine, Korea Department of Neurosurgery, Daegu Catholic University Medical Center, Catholic University of Daegu College of Medicine, KoreaIntradiscal vacuum phenomenon is commonly shown in radiographic studies of the degenerative spine. In terms of pathophysiology, intradiscal gas migrates to the epidural space, and then it could compress neural tissues and lead to severe radicular pain and/or neurologic deficits. Herein, we report two patients with lumbar radiculopathy resulting from gas-containing pseudocysts at the L5-S1 space, including our treatment and literature review. One patient had been underwent L5-S1 partial laminectomy and removal of the gas-containing pseudocyst, and the other underwent right selective L5 root block. After the procedures, they didn’t have any remarkable complaints. In the present study, we suggest that surgical decompression may be effective in patients who were untreatable with conservative treatment.http://www.jmisst.org/upload/pdf/jmisst-2019-00045.pdfintradiscal vacuum phenomenonepidural spaceintervertebral disc degenerationgas pseudocystradiculopathy |
spellingShingle | Bong Hyun Jin Jong Un Lee Tae-Hun Kim Ki-Hong Kim Man Kyu Choi Dae-Hyun Kim Epidural Pneumatic Pseudocyst with Lumbar Radiculopathy: Two Case Reports and Review of the Literature Journal of Minimally Invasive Spine Surgery and Technique intradiscal vacuum phenomenon epidural space intervertebral disc degeneration gas pseudocyst radiculopathy |
title | Epidural Pneumatic Pseudocyst with Lumbar Radiculopathy: Two Case Reports and Review of the Literature |
title_full | Epidural Pneumatic Pseudocyst with Lumbar Radiculopathy: Two Case Reports and Review of the Literature |
title_fullStr | Epidural Pneumatic Pseudocyst with Lumbar Radiculopathy: Two Case Reports and Review of the Literature |
title_full_unstemmed | Epidural Pneumatic Pseudocyst with Lumbar Radiculopathy: Two Case Reports and Review of the Literature |
title_short | Epidural Pneumatic Pseudocyst with Lumbar Radiculopathy: Two Case Reports and Review of the Literature |
title_sort | epidural pneumatic pseudocyst with lumbar radiculopathy two case reports and review of the literature |
topic | intradiscal vacuum phenomenon epidural space intervertebral disc degeneration gas pseudocyst radiculopathy |
url | http://www.jmisst.org/upload/pdf/jmisst-2019-00045.pdf |
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