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Gas-Filled Intradural Cyst within the Cauda Equine

  • Cho, Hyung-Lea (Department of Neurosurgery, Wooridul Spine Hospital) ;
  • Lee, Sang-Ho (Department of Neurosurgery, Wooridul Spine Hospital) ;
  • Kim, Jin-Sung (Department of Neurosurgery, Wooridul Spine Hospital)
  • 투고 : 2010.06.17
  • 심사 : 2011.02.06
  • 발행 : 2011.03.28

초록

A case of radicular pain that resulted from a gas-filled intradural cyst in an 80-year-old male is described. Temporary improvement of radicular pain was observed after CT-guided aspiration. However, recurrent radicular pain led to surgical treatment. In this report, the authors document the radiologic and intraoperative features of a gas-filled intradural cyst that migrated into the nerve root, and propose an optimal treatment plan based on a review of the literature.

키워드

참고문헌

  1. Anda S, Dale LG, Vassal J : Intradural disc herniation with vacuum phenomenon : CT diagnosis. Neuroradiology 29 : 407, 1987 https://doi.org/10.1007/BF00348927
  2. Bosser V, Dietemann JL, Warter JM, Granel de Solignac M, Beaujeux R, Buchheit F : L5 radicular pain related to lumbar extradural gas-containing pseudocyst. Role of CT-guided aspiration. Neuroradiology 31 : 552-553, 1990 https://doi.org/10.1007/BF00340142
  3. Demierre B, Ramadan A, Hauser H, Reverdin A, Rilliet B, Bernev J : Radicular compression due to lumbar intraspinal gas pseudocyst : case report. Neurosurgery 22 : 731-733, 1988 https://doi.org/10.1227/00006123-198804000-00018
  4. Dillon WP, Kasseff LG, Knackstedt VE, Osborn AG : Computed tomography and differential diagnosis of the extruded lumbar disc. J Comput Assist Tomogr 7 : 969-975, 1983 https://doi.org/10.1097/00004728-198312000-00006
  5. Fandino J, Garcia J, Garcia-Abeledo M : Radicular compression by gas in a spinal extra dural cyst. Report on two cases. Neurochirurgie 40 : 179-182, 1994
  6. Harvey AR, Britton JM, Plant GR : A gas filled intradural cyst associated with disc degeneration. Spinal Cord 38 : 708-710, 2000 https://doi.org/10.1038/sj.sc.3101071
  7. Hidalgo-Ovejero AM, Garcia-Mata S, Gozzi-Vallejo S, Izco-Cabezon T, Martinez-Morentin J, Martinez-Grande M : Intradural disc herniation and epidural gas: something more than a casual association? Spine 29 : E463-E467, 2004 https://doi.org/10.1097/01.brs.0000142433.21912.0d
  8. Hidalgo-Ovejero AM, Garcia-Mata S, Izco-Cabezon T, Garralda-Galarza G, Martinez-Grande M : Intradural disc herniation associated with epidural gas. Spine 23 : 281-283, 1998 https://doi.org/10.1097/00007632-199801150-00027
  9. Kaiser MC, Sandt G, Roilgen A, Capesius P, Poos D, Ohanna F : Intradural disc herniation with CT appearance of gas collection. AJNR Am J Neuroradiol 6 : 117-118, 1985
  10. Kawaguchi S, Yamashita T, Ida K, Ikeda T, Ohwada O : Gas-filled intradural cyst of the lumbar spine. Case report. J Neurosurg 95 : 257-259, 2001
  11. Kudo Y, Nishijima Y, Mochida K, Sekido Y, Tachibana S : Gas-filled intradural cyst with migration into the nerve root of the cauda equine. J Neurosurg Spine 8 : 482-486, 2008 https://doi.org/10.3171/SPI/2008/8/5/482
  12. Lee DY, Lee SH : L2 radicular compression caused by a foraminal extradural gas pseudocyst. J Korean Neurosurg Soc 47 : 232-234, 2010 https://doi.org/10.3340/jkns.2010.47.3.232
  13. McCormick PC, Stein BM : Miscellaneous intradural pathology. Neurosurg Clin N Am 1 : 687-699, 1990
  14. Righini A, Lucchi S, Reganati P, Zavanone M, Bettinelli A : Percutaneous treatment of gas-containing lumbar disc herniation. Report of two cases. J Neurosurg 91 : 133-136, 1999
  15. Sei A, Mizutamari M, Fujimoto T, Taniwaki T, Mizuta H : Gas-filled intradural cysts of the lumbar spine and the possible pathogenesis. Spine J 9 : e6-e8, 2009
  16. Yoshida H, Shinomiya K, Nakai O, Kurosa Y, Yamaura I : Lumbar nerve root compression caused by lumbar intraspinal gas. Report of three cases. Spine 22 : 348-351, 1997 https://doi.org/10.1097/00007632-199702010-00021

피인용 문헌

  1. Increased size of a gas-filled intradural cyst causing acute foot drop: a case report vol.42, pp.12, 2013, https://doi.org/10.1007/s00256-013-1668-6
  2. Transforaminal percutaneous endoscopic discectomy for symptomatic gas-filled discal cysts-report of three cases and literature review vol.16, pp.1, 2011, https://doi.org/10.1186/s13018-021-02403-8