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Lumbar Radiculopathy Caused by Epidural Gas Collection

Overview
Journal Case Rep Orthop
Publisher Wiley
Specialty Orthopedics
Date 2022 Jun 9
PMID 35677752
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Abstract

Background: Degenerated intervertebral discs in the lumbar spine are commonly found with vacuum phenomenon. In a few cases, gas can migrate into the lumbar spinal canal and compress the nerve root. . We report a case of lumbar radiculopathy caused by epidural gas collection in a 59-year-old woman. Originally, the gas was formed in the intervertebral disc and possibly migrated backward because of the motion of lumbar spine, forming a single large gas formation. The nerve root was freed from the gas-filled cyst after needle puncture was performed. Patient's symptoms in the leg were significantly relieved following surgery.

Conclusion: There is still no satisfactory explanation for the pathogenesis of gas formation in the spinal canal. In our case, the presence of gas in the spinal canal and gas inside a narrowed disc suggests a communication between the two structures.

References
1.
Yasuoka H, Nemoto O, Kawaguti M, Naitou S, Yamamoto K, Ukegawa Y . An unusual case of nerve root compression by intradiscal gas pseudocyst of the lumbar spine. J R Army Med Corps. 2010; 156(1):47-8. DOI: 10.1136/jramc-156-01-11. View

2.
Belfquih H, El Mostarchid B, Akhaddar A, Gazzaz M, Boucetta M . Sciatica caused by lumbar epidural gas. Pan Afr Med J. 2014; 18:162. PMC: 4239438. DOI: 10.11604/pamj.2014.18.162.1354. View

3.
Yoshida H, Shinomiya K, Nakai O, Kurosa Y, Yamaura I . Lumbar nerve root compression caused by lumbar intraspinal gas. Report of three cases. Spine (Phila Pa 1976). 1997; 22(3):348-51. DOI: 10.1097/00007632-199702010-00021. View

4.
Ayberk G, Ozveren M, Yildirim T . Spinal gas accumulation causing lumbar discogenic disease: a case report. Acta Orthop Traumatol Turc. 2015; 49(1):103-5. DOI: 10.3944/AOTT.2015.2827. View

5.
Hassler E, Gattringer T, Wiesspeiner U, Deutschmann H, Fazekas F . Spinal epidural gas mimicking lumbar disc herniation. Neurology. 2017; 89(14):1528-1529. DOI: 10.1212/WNL.0000000000004545. View