Preview

Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)

Advanced search

Epidural lumbar pneumocysts and radiculopathy: description of a clinical case of diagnosis and treatment

https://doi.org/10.20340/vmi-rvz.2024.4.CASE.1

Abstract

Epidural pneumocysts are a rare but significant cause of severe low back pain in patients. A clinical case of diagnosis and treatment of this disease, which often remains poorly studied in the literature, is presented. It should be noted that descriptions of nerve root compression by a gas bubble are found in both domestic and foreign publications, but they are rare, which makes the problem relevant and interesting for the medical community.

About the Authors

S. N. Larionov
Irkutsk Scientific Center of Surgery and Traumatology
Russian Federation

Sergey N. Larionov, Dr. Sci. (Med.), Leading Researcher, Head of the Scientific and Clinical Depart- ment of Neurosurgery

1, Bortsov Revolyutsii str., Irkutsk, 664003



A. P. Zhivotenko
Irkutsk Scientific Center of Surgery and Traumatology
Russian Federation

Aleksandr P. Zhivotenko, Researcher, Scientific and Clinical Department of Neurosurgery

1, Bortsov Revolyutsii str., Irkutsk, 664003



A. I. Vel'm
Irkutsk Scientific Center of Surgery and Traumatology
Russian Federation

Andrey I. Vel'm, Cand. Sci. (Med.), radiologist

1, Bortsov Revolyutsii str., Irkutsk, 664003



V. A. Sorokovikov
Irkutsk Scientific Center of Surgery and Traumatology
Russian Federation

Vladimir A. Sorokovikov, Dr. Sci. (Med.), Professor, Director, Irkutsk Scientific Center of Surgery and Trau- matology; Head of the Department of Traumatology, Orthopedics and Neuro- surgery, Irkutsk State Medical Academy of Postgraduate Education – Branch of the Russian Medical Academy of Continuous Professional Education

1, Bortsov Revolyutsii str., Irkutsk, 664003



References

1. Bosser V., Dietemann J.L., Warter J.M., Granel de Solignac M., Beaujeux R., Buchheit F. L5 radicular pain related to lumbar extradural gas-containing pseudocyst. Role of CT-guided aspiration. Neuroradiology. 1990;31(6):552–553. https://doi.org/10.1007/BF00340142

2. Chen Y., Yu S.D., Lu W.Z., Ran J.W., Yu K.X. Epidural gas-containing pseudocyst leading to lumbar radiculopathy: A case report. World journal of clinical cases. 2021;9(24):7279–7284. https://doi.org/10.12998/wjcc.v9.i24.7279

3. Kuh S.U., Heo D.H., Kim K.S., Cho Y.J. Lumbar epidural gas-containing pseudocysts as a cause of severe radicular pain. Joint bone spine. 2011;78(4):398–401. https://doi.org/10.1016/j.jbspin.2010.10.006

4. Liu W.C., Lee S.H., Kwon A.M., Lee S.H., Park J., Park H. S. Morphologic Characteristics and Clinical Significance of Computed Tomography and Magnetic Resonance Imaging Findings of Spinal Epidural Gas. World neurosurgery. 2020;141:e792–e800. https://doi.org/10.1016/j.wneu.2020.06.009

5. Guo J, Ma X, Liu Y, Li G, Wang D, Wang Z, Li S. Dura sac compression due to spinal epidural gas pseudocyst after lumbar decompression surgery: a case report. BMC Musculoskelet Disord. 2019 Jun 21;20(1):296. https://doi.org/10.1186/s12891-019-2682-1. PMID: 31221132; PMCID: PMC6587290.

6. Akhaddar A. Spinal Epidural Gas Pseudocysts. In: Atlas of Sciatica. Springer, Cham, 2023. https://doi.org/10.1007/978-3-031-44984-0_85

7. Zhivotenko A.P., Koshkareva Z.V., Gorbunov A.V., Sorokovikov V.A. Surgical treatment of facet syndrome in segmental instability of the lumbar spine. Acta Biomedica Scientifica. 2021;6(3):95-102. (In Russ). https://doi.org/10.29413/ABS.2021-6.3.10

8. Kuh S.U., Heo D.H., Kim K.S., Cho Y.J. Lumbar epidural gas-containing pseudocysts as a cause of severe radicular pain. Joint bone spine. 2011;78(4):398–401. https://doi.org/10.1016/j.jbspin.2010.10.006

9. Oehler E., Valour F., Pascart T. Intraosseous pneumatocysts: a case based review. Clinical rheumatology. 2013;32(1):129–134. https://doi.org/10.1007/s10067-012-2077-2

10. Bruder M., Cattani A., Gessler F., Droste C., Setzer M., Seifert V., Marquardt G. Synovial cysts of the spine: long-term follow-up after surgical treatment of 141 cases in a single-center series and comprehensive literature review of 2900 degenerative spinal cysts. Journal of neurosurgery. Spine. 2017;27(3):256–267. https://doi.org/10.3171/2016.12.SPINE16756

11. Zhu B., Jiang L., Liu X.G. Transforaminal Endoscopic Decompression for a Giant Epidural Gas-Containing Pseudocyst: A Case Report and Literature Review. Pain physician. 2017;20(3):E445–E449.


Supplementary files

Review

For citations:


Larionov S.N., Zhivotenko A.P., Vel'm A.I., Sorokovikov V.A. Epidural lumbar pneumocysts and radiculopathy: description of a clinical case of diagnosis and treatment. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2024;14(4):87-91. (In Russ.) https://doi.org/10.20340/vmi-rvz.2024.4.CASE.1

Views: 194


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2226-762X (Print)
ISSN 2782-1579 (Online)