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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Main Authors: Bong Hyun Jin, Jong Un Lee, Tae-Hun Kim, Ki-Hong Kim, Man Kyu Choi, Dae-Hyun Kim
Format: Article
Language:English
Published: Korean Minimally Invasive Spine Surgery Society 2019-06-01
Series:Journal of Minimally Invasive Spine Surgery and Technique
Subjects:
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.
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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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