Gas-Filled Intradural Cyst within the Cauda Equine.
Abstract: 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.
Publication Date: 2011-03-31 PubMed ID: 21556241PubMed Central: PMC3085817DOI: 10.3340/jkns.2011.49.3.182Google Scholar: Lookup
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- Case Reports
Summary
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The research article discusses a case study of an elderly person who experienced recurrent pain due to a gas-filled cyst located within the cauda equina region of the spine. The pain was temporarily eased by aspiration but ultimately required surgery.
Case Details
- The research revolves around the case of an 80-year-old male patient who was experiencing radicular pain, a type of nerve pain that travels along the path of the nerve.
- The source of this pain was identified as a gas-filled intradural cyst located within the cauda equina. The cauda equina is a bundle of spinal nerves located at the lower end of the spinal cord.
- A CT-guided aspiration was performed on the patient. This is a procedure where a needle is inserted into the body, guided by CT scans, to drain fluid from a cyst or abscess.
- The patient temporarily experienced relief from the radicular pain; however, the relief was not permanent and the pain recurred.
Surgical Intervention and Outcomes
- Due to the reoccurrence of pain, it was decided that the patient needed surgical intervention to remove the gas-filled cyst.
- The research paper provides a comprehensive documentation of the radiological and intraoperative features that were observed during the surgery.
- These details could be valuable to other medical professionals dealing with a similar case.
Treatment Plan Analysis and Suggestions
- Following the case study, the authors of the paper conducted a review of the existing literature on similar cases and treatment approaches.
- From this review, they put forward a suggested optimal treatment plan for dealing with gas-filled intradural cysts within the cauda equine causing radicular pain.
- By sharing their suggestions, the authors aimed to help guide clinical decision-making in similar scenarios.
Cite This Article
APA
Cho HL, Lee SH, Kim JS.
(2011).
Gas-Filled Intradural Cyst within the Cauda Equine.
J Korean Neurosurg Soc, 49(3), 182-185.
https://doi.org/10.3340/jkns.2011.49.3.182 Publication
Researcher Affiliations
- Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea.
References
This article includes 16 references
- Anda S, Dale LG, Vassal J. Intradural disc herniation with vacuum phenomenon: CT diagnosis.. Neuroradiology 1987;29(4):407.
- 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 1990;31(6):552-3.
- Demierre B, Ramadan A, Hauser H, Reverdin A, Rilliet B, Berney J. Radicular compression due to lumbar intraspinal gas pseudocyst: case report.. Neurosurgery 1988 Apr;22(4):731-3.
- Dillon WP, Kaseff LG, Knackstedt VE, Osborn AG. Computed tomography and differential diagnosis of the extruded lumbar disc.. J Comput Assist Tomogr 1983 Dec;7(6):969-75.
- Fandino J, Garcia J, Garcia-Abeledo M. Radicular compression by gas in a spinal extra dural cyst. Report on two cases.. Neurochirurgie 1994;40(3):179-82.
- Harvey AR, Britton JM, Plant GR. A gas filled intradural cyst associated with disc degeneration.. Spinal Cord 2000 Nov;38(11):708-10.
- Hidalgo-Ovejero AM, García-Mata S, Gozzi-Vallejo S, Izco-Cabezón T, Martínez-Morentín J, Martínez-Grande M. Intradural disc herniation and epidural gas: something more than a casual association?. Spine (Phila Pa 1976) 2004 Oct 15;29(20):E463-7.
- Hidalgo-Ovejero AM, Garcia-Mata S, Izco-Cabezon T, Garralda-Galarza G, Martinez-Grande M. Intradural disc herniation associated with epidural gas.. Spine (Phila Pa 1976) 1998 Jan 15;23(2):281-3.
- Kaiser MC, Sandt G, Roilgen A, Capesius P, Poos D, Ohanna F. Intradural disk herniation with CT appearance of gas collection.. AJNR Am J Neuroradiol 1985 Jan-Feb;6(1):117-8.
- Kawaguchi S, Yamashita T, Ida K, Ikeda T, Ohwada O. Gas-filled intradural cyst of the lumbar spine. Case report.. J Neurosurg 2001 Oct;95(2 Suppl):257-9.
- Kudo Y, Nishijima Y, Mochida K, Sekido Y, Tachibana S. Gas-filled intradural cyst with migration into the nerve root of the cauda equina.. J Neurosurg Spine 2008 May;8(5):482-6.
- Lee DY, Lee SH. L2 radicular compression caused by a foraminal extradural gas pseudocyst.. J Korean Neurosurg Soc 2010 Mar;47(3):232-4.
- McCormick PC, Stein BM. Miscellaneous intradural pathology.. Neurosurg Clin N Am 1990 Jul;1(3):687-99.
- Righini A, Lucchi S, Reganati P, Zavanone M, Bettinelli A. Percutaneous treatment of gas-containing lumbar disc herniation. Report of two cases.. J Neurosurg 1999 Jul;91(1 Suppl):133-6.
- Sei A, Mizutamari M, Fujimoto T, Taniwaki T, Mizuta H. Gas-filled intradural cysts of the lumbar spine and the possible pathogenesis.. Spine J 2009 Jul;9(7):e6-8.
- 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 Feb 1;22(3):348-51.
Citations
This article has been cited 3 times.- Zhu K, He D. Transforaminal percutaneous endoscopic discectomy for symptomatic gas-filled discal cysts-report of three cases and literature review.. J Orthop Surg Res 2021 Apr 13;16(1):251.
- Jeon CH, Park JU, Choo HS, Chung NS. Increased size of a gas-filled intradural cyst causing acute foot drop: a case report.. Skeletal Radiol 2013 Dec;42(12):1747-50.
- Abbassian A, Minaee B, Nikbakht Nasrabadi A, Rostamian A, Shirzad M. Gas as a cause of spinal pains: a possible new syndrome.. Iran J Public Health 2013;42(1):110-2.
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