Postoperative Gas Bubble Foot Drop

Raynor, Richard B.; Saint-louis, Leslie

doi:10.1097/00007632-199902010-00023

Cited by 34 publications

(27 citation statements)

References 9 publications

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“…Most cases of pneumorrhachis have been developed by medical procedures, trauma, pneumothorax or pneumomediastinum 4,[6][7][8]10) . We report a case with spontaneous pneumorrhachis and suggested a possible explanation for the mechanism of pneumorrhachis.…”

Section: Introductionmentioning

confidence: 99%

Pneumorrhachis and Paraspinal Air with Vacuum Disc : Case Report and Literature Review

Kim

2007

J Korean Neurosurg Soc

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Section: Introductionmentioning

confidence: 99%

Pneumorrhachis and Paraspinal Air with Vacuum Disc : Case Report and Literature Review

Kim

2007

J Korean Neurosurg Soc

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“…Intraspinal gas may disappear spontaneously, so a period of observation may be warranted before any invasive procedure. 4,12,13) Surgical treatments are required if patients suffer incapacitating pain refractory to conservative treatment, or have neurological deficits. CT-guided aspiration may be possible, but recurrences have been reported.…”

Section: Discussionmentioning

confidence: 99%

Gas-Containing Disc Herniations: Dual Nerve Root Compression at a Single Disc Level

Ryu

Rathi

Shin

et al. 2012

Neurol. Med. Chir.(Tokyo)

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A 72-year-old man presented with gas-containing disc herniations resulting in dual nerve root (exiting and traversing root) compression at the single level manifesting as lower back pain with the right anterolateral thigh and medial calf pain and no response to 4 weeks of conservative treatment. Physical examination revealed positive Lasegue's sign at 409 , but the patient had no evidence of neurological deficit. Magnetic resonance imaging showed two separate disc herniations, a posterocentral herniated disc that had migrated inferiorly at the L3-4 level and compressed the L4 traversing root, and another that had compressed the L3 exiting root in the extraforaminal area at the same level. Coronal computed tomography demonstrated the presence of gas in the spinal canal and extraforaminal area at the L3-4 level, and the vacuum phenomenon was also noted at the L3-4 intervertebral disc. Microscopic discectomy was performed using midline and paramedian approaches, and the presence of gas was confirmed by bubbles after pouring saline into the area intraoperatively. Histological examination revealed fibrous tissue. The patient was discharged with complete relief of pain. This is a rare case of symptomatic gas-containing disc herniations causing dual compression of exiting and traversing roots at a single disc level.

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“…Several cases of symptomatic gas within the spine manifesting as radiculopathy, myelopathy, or foot drop were reported to compress the nerve root. 1,18,22) The successive resolution of radicular pain after needle puncture of the gas pseudocyst may be followed by recurrence of the gas cyst with radicular pain 2 years afterwards, followed by absorption of the gas. 2,26) Gas can produce radicular symptoms, but disk herniation with gas and operative findings is rare.…”

Section: Discussionmentioning

confidence: 99%

Surgical Experience of Gas-Containing Disk Herniation

Choi

Kim

Lee

2010

Neurol. Med. Chir.(Tokyo)

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Disk herniation with gas or gas-containing disk herniation (GCDH) is rare, although epidural gas is associated with the vacuum phenomenon. The clinical, radiologic, and surgical findings were retrospectively analyzed of 18 patients with GCDH. The demographic, clinical, and radiologic findings including computed tomography and magnetic resonance imaging, as well as operative methods were examined. The mean age was 64.4 years (range 51-84 years). All patients presented with acute radiculopathy or exacerbation of chronic pain associated with GCDH of the lumbar spine. All lumbar GCDHs were related to the vacuum phenomenon. Ruptured disks predominantly compressed the nerve root with gas in 17 cases, except in one with only compressed nerve root by gas without disk herniation. All patients had confirmed GCDH at surgery. All patients underwent removal of GCDH and five with another level of spinal stenosis or disk herniation underwent selective decompression. The six patients with instability underwent fusion. Visual analogue scale score of radicular pain was improved from 7.4 ± 0.9 before surgery to 3.2 ± 0.7 at the 3-month follow-up examination. No recurrence occurred after surgery. GCDH can occur as a space-occupying lesion in epidural space as well as a cause of radiculopathy. GCDH may indicate the source of clinical symptoms in the degenerative spine, especially combined with spinal stenosis or multiple spinal disk herniations.

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Postoperative Gas Bubble Foot Drop

Cited by 34 publications

References 9 publications

Pneumorrhachis and Paraspinal Air with Vacuum Disc : Case Report and Literature Review

Pneumorrhachis and Paraspinal Air with Vacuum Disc : Case Report and Literature Review

Gas-Containing Disc Herniations: Dual Nerve Root Compression at a Single Disc Level

Surgical Experience of Gas-Containing Disk Herniation

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