Only 4 cases of gas-filled intradural cysts of the spine have been reported previously. All cysts were due to intradural herniation of a gas-containing disc. The authors report 2 additional patients with gas-filled intradural cysts that migrated into the nerve root of the cauda equina. After surgical treatment their severe leg pain completely resolved.
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http://dx.doi.org/10.3171/SPI/2008/8/5/482 | DOI Listing |
Spine J
November 2013
Department of Neurosurgery & Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, 305 Gudeok-Ro Seo-Gu, Busan 602-739, Korea.
Background Context: Lumbar intradural disc herniation (IDH) is rare, and intradural cyst associated with IDH is quite rare. Only seven cases of an intradural cyst associated with lumbar disc herniation have been reported, and all were gas-filled cysts. We report the first case, to our knowledge, of a fluid-filled intradural cyst associated with IDH.
View Article and Find Full Text PDFSkeletal Radiol
December 2013
Department of Orthopaedic Surgery, Ajou University School of Medicine, San 5 Wonchon-dong, Youngtong-gu, Suwon, Kyounggi-do, Republic of Korea.
We describe the case of a 76-year-old man presenting with a gas-filled intradural cyst that increased in size over a 10-month period and caused acute bilateral foot drop. The gas-filled intradural cyst was resected from the adherent cauda equina, and histopathological examination identified cystic tissue with degenerated fibrocartilage. Leg pain disappeared immediately following surgery, and the bilateral foot drop resolved within 8 months.
View Article and Find Full Text PDFJ Korean Neurosurg Soc
March 2011
Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea.
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.
View Article and Find Full Text PDFSpine J
July 2009
Department of Orthopaedic and Neuro-Musculoskeletal Surgery, Kumamoto University, Honjo, Japan.
Background Context: There have only been four reports of gas-filled intradural cysts, and the pathogenesis is unknown.
Purpose: To document the radiologic and histopathologic features of gas-filled intradural cysts and to discuss the pathogenesis with a review of the literature.
Study Design: Case report.
Acta Neurol Taiwan
March 2008
Department of Neurology, Hsinchu Hospital, Taiwan.
Intradural disc herniation is rare. In a colon cancer patient who suffered from low back pain for several years, MRI examination showed evidence of vacuum phenomenon and ring enhancement at the level of L3-4. Intradural herniation of an intervertebral disc was confirmed surgically.
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